Healthcare Provider Details

I. General information

NPI: 1518928670
Provider Name (Legal Business Name): IRVING P RATNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 06/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2103 BURLINGTON MOUNT HOLLY RD
BURLINGTON NJ
08016-4157
US

IV. Provider business mailing address

126 ESPERANZA WAY
PALM BEACH GARDENS FL
33418-6206
US

V. Phone/Fax

Practice location:
  • Phone: 609-747-9200
  • Fax: 609-747-1408
Mailing address:
  • Phone: 609-747-9200
  • Fax: 609-747-1408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number25MA02412400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: