Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | MA77170 | NJ |
NPI | 1962597328 |
---|---|
Provider Name | Raymond Ragland |
First Address | Marlton, NJ 08053-4197 |
Second Address | Marlton, NJ 08053 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 20/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0598676 | GHI (01) | NJ |
2340915000 | AMERIHEALTH (01) | NJ |
2340915000 | KEYSTONE (01) | NJ |
2391969 | UNITED HEALTHCARE (01) | NJ |
2K6653 | HEALTHNET (01) | NJ |
3445031 | AETNA (01) | NJ |
6603607 | CIGNA (01) | NJ |
I27918 | (02) | NJ |