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NPI Code Detail

MEDICARE: ROBIN RAGANTESI PA

MEDICARE: ROBIN RAGANTESI PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantOA000747PA
2363A00000XPhysician AssistantMA001236LPA

General Provider Information

NPI Number : 1851367106
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN RAGANTESI PA
Provider Business Mailing Address
First Line : 100 N ACADEMY AVE
Second Line :
City : DANVILLE
State : PA
Zip : 17822-4903
Country : US
Telephone Number : 570-271-6144
Fax Number :
Provider Business Practice Location Address
First Line : 35 S MOUNTAIN BLVD
Second Line :
City : MOUNTAIN TOP
State : PA
Zip : 18707-1122
Country : US
Telephone Number : 570-474-5847
Fax Number : 570-474-6952
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2006
Last Update Date : 02/10/2023

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Directions to “ ROBIN RAGANTESI PA” Practice Location

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