Healthcare Provider Details

I. General information

NPI: 1629043088
Provider Name (Legal Business Name): MILA SONCAYAON-RAMOS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 06/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 N 21ST ST
CAMP HILL PA
17011-2204
US

IV. Provider business mailing address

PO BOX 60
PITTSBURGH PA
15230-0060
US

V. Phone/Fax

Practice location:
  • Phone: 717-763-2945
  • Fax:
Mailing address:
  • Phone: 570-647-4381
  • Fax: 770-666-9078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License NumberMD058492L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: