MEDICARE: RICHARD A RAZZINO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0129X	Vascular Surgery Physician	MD038799E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003818659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD A RAZZINO MD

Provider Business Mailing Address
First Line	:	800 POPLAR CHURCH RD
Second Line	:
City	:	CAMP HILL
State	:	PA
Zip	:	17011-2205
Country	:	US
Telephone Number	:	717-763-0510
Fax Number	:	717-761-6081

Provider Business Practice Location Address
First Line	:	800 POPLAR CHURCH RD
Second Line	:
City	:	CAMP HILL
State	:	PA
Zip	:	17011-2205
Country	:	US
Telephone Number	:	717-763-0510
Fax Number	:	717-761-6081

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	03/23/2012

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Directions to “ RICHARD A RAZZINO MD” Practice Location

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