Search › Pennsylvania › 207R00000X
Peter Rajacic
NPI 1023351921 · on the registry since 2013 · sole proprietor
Practice
- Address
- 6431 Sackett St
Philadelphia, PA 19149 - Phone
- (267) 448-4908
- Organisation at this address
- Dedicated Pennsylvania Holding, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Additional practice sites
- 2040 W. Charleston Blvd. #300, Las Vegas, NV
- 6900 N Pecos Rd, North Las Vegas, NV
- 5675 N Front St Ste 141, Philadelphia, PA
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
390200000X - Licence states on file
- NV, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-03-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania