Provider Demographics
NPI:1316142698
Name:RACHOFSKY, EDWARD L (MD)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:L
Last Name:RACHOFSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:39 DIVISION ST UNIT 180
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-7012
Mailing Address - Country:US
Mailing Address - Phone:908-988-0405
Mailing Address - Fax:908-728-0398
Practice Address - Street 1:757 ROUTE 202/206
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-1763
Practice Address - Country:US
Practice Address - Phone:908-988-0405
Practice Address - Fax:908-728-0398
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2024-04-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08577500207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology