Healthcare Provider Details

I. General information

NPI: 1831917533
Provider Name (Legal Business Name): RAMAZZINI OCCUPATIONAL HEALTH ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2024
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 E GENERAL GREY CT
NEWARK DE
19702-3824
US

IV. Provider business mailing address

136 E GENERAL GREY CT
NEWARK DE
19702-3824
US

V. Phone/Fax

Practice location:
  • Phone: 804-972-5180
  • Fax:
Mailing address:
  • Phone: 804-972-5180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HERMAN M ELLIS
Title or Position: CEO
Credential: MD
Phone: 804-387-9344