Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | OS005724L | PA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | OS005724L | PA |
NPI | 1114973567 |
---|---|
Provider Name | Angelo J Ratini |
First Address | Bristol, PA 19007-5017 |
Second Address | Bristol, PA 19007-3101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 19/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0004133846 | AETNA MANAGED CARE (01) | PA |
0010420880002 | (05) | PA |
0022648000 | KEYSTONE (01) | PA |
080181037 | RAILROAD MEDICARE (01) | PA |
1025861 | KEYSTONE MERCY (01) | PA |
117457 | IBC (01) | PA |
19956 | AETNA HMO (01) | PA |
232544487 | CIGNA (01) | PA |
232544487 | CLEAR-CARE CONCEPTS (01) | PA |
232544487 | HORIZON/ NJ BLUE SHIELD (01) | PA |
232544487 | PHCS (01) | PA |
232544487 | UNITED HEALTHCARE (01) | PA |
6112538A | CIGNA HMO (01) | PA |
B37038 | (02) | PA |
BUP001 | OXFORD (01) | PA |