Provider Demographics
NPI:1093815789
Name:HAROZ, RACHEL (MD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:HAROZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1 FEDERAL STREET
Mailing Address - Street 2:SUITE SW200
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1155
Mailing Address - Country:US
Mailing Address - Phone:856-356-4924
Mailing Address - Fax:
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:COOPER UNIVERISTY EMERGENCY PHYSICIANS
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-342-2351
Practice Address - Fax:856-968-8272
Is Sole Proprietor?:No
Enumeration Date:2006-09-23
Last Update Date:2020-12-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA079651002083A0300X
NJMA07965100207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ60021960OtherHORIZON NJ HEALTH
NJP3653479OtherOXFORD
NJ0085561Medicaid
NJ1090847OtherAETNA
NJ1506925OtherAMERIHEALTH PPO/PA BS
NJ2646540000OtherAMERIHEALTH/KEYSTONE/IBC
NJ0464455OtherCIGNA
NJ41775OtherUNIVERSITY HEALTH PLAN
NJ010007761 00OtherAMERICHOICE
NJ2357654OtherUNITED HEALTH CARE
H93408Medicare UPIN
NJ60021960OtherHORIZON NJ HEALTH
NJ1506925OtherAMERIHEALTH PPO/PA BS