MEDICARE: RONALD N ENDO MD

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
1	208000000X	Pediatrics Physician	MD039414E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932194958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD N ENDO MD

Provider Business Mailing Address
First Line	:	847 EASTON RD
Second Line	:
City	:	WARRINGTON
State	:	PA
Zip	:	18976-2906
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	847 EASTON RD
Second Line	:	STE 2500
City	:	WARRINGTON
State	:	PA
Zip	:	18976-2906
Country	:	US
Telephone Number	:	215-918-5775
Fax Number	:	218-918-5776

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	05/14/2025

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