Robert Jerrold Racusin in Lebanon - Child & Adolescent Psychiatry
Robert Jerrold Racusin - NPI 1750459244
Robert Jerrold Racusin is a Child & Adolescent Psychiatry in Lebanon, New Hampshire. Robert Jerrold Racusin practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Robert Jerrold Racusin is 1750459244. The last update date is 2007-07-16.
Robert Jerrold Racusin's current location address is 1 Medical Center Dr, Lebanon, New Hampshire. You can contact this provider via phone number 6036505835 and fax number 6036500819. The mailing address for Robert Jerrold Racusin is 1 Medical Center Dr, Lebanon, New Hampshire. To know further, please read the information below!
Provider Profile Detail
Provider Name | Robert Jerrold Racusin |
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Address | 1 Medical Center Dr, Lebanon, New Hampshire |
Phone Number | 6036505835 |
Fax Number | 6036500819 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1750459244 |
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Provider Enumeration Date | 2006-12-01 |
Last Updated Date | 2007-07-16 |
Provider Mailing Address Detail
Address | 1 Medical Center Dr |
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City | Lebanon |
State | New Hampshire (NH) |
Post Code | 37561000 |
Phone Number | 6036505835 |
Fax Number | 6036500819 |
Provider's Primary Taxonomy Detail
Speciality | Child & Adolescent Psychiatry |
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Taxonomy | 2084P0804X |
Licence No | 5075 |
Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
792 | NH | -- | |
4602 | VT | MEDICAID |
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What is the unique 10-digit identifier code issued to Robert Jerrold Racusin by the Centers for Medicare & Medicaid Services?
The Robert Jerrold Racusin has been assigned the NPI (National Provider Identifier) 1750459244 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Robert Jerrold Racusin located?
The Robert Jerrold Racusin is located at 1 Medical Center Dr, Lebanon, NH 37561000.
What is Robert Jerrold Racusin's specialized field of practice, and what is the corresponding taxonomy classification code?
The Robert Jerrold Racusin's area of specialization is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0804X.
When was the Robert Jerrold Racusin's 1750459244 issued?
The Robert Jerrold Racusin's 1750459244 was issued on 2006-12-01.
As of what date was the information regarding Robert Jerrold Racusin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Robert Jerrold Racusin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-16.