Healthcare Provider Details

I. General information

NPI: 1457553638
Provider Name (Legal Business Name): RONAY E DAWSON-ROBERTS RRT,RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5533 WINDSOR AVE
PHILADELPHIA PA
19143-4724
US

IV. Provider business mailing address

5533 WINDSOR AVE
PHILADELPHIA PA
19143-4724
US

V. Phone/Fax

Practice location:
  • Phone: 215-726-7152
  • Fax: 215-729-1507
Mailing address:
  • Phone: 215-726-7152
  • Fax: 215-729-1507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberYM002867L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: