Healthcare Provider Details

I. General information

NPI: 1457325938
Provider Name (Legal Business Name): RICHARD H RATHGEBER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 03/14/2022
Certification Date: 03/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

713 BETHLEHEM PIKE
MONTGOMERYVILLE PA
18936-9602
US

IV. Provider business mailing address

5000 COX RD
GLEN ALLEN VA
23060-9263
US

V. Phone/Fax

Practice location:
  • Phone: 267-695-3944
  • Fax: 267-695-3945
Mailing address:
  • Phone: 804-968-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOS004845L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: