Organization Name: | DANIEL J. RAGONE, JR MD PA |
NPI Number: | 1023055381 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL J. RAGONE (MEDICAL DIRECTOR) |
Mailing Address: | 3829 Church Rd Suite A Mount Laurel |
State: | NJ US |
Postal Code: | 080541105 |
Phone Number: | 8562229713 |
Fax Number: | 8562229714 |
NPI Enumeration Date: | 06/02/2006 |
NPI Last Update Date: | 08/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2255R0406X |
License Number: | MA45205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Rehabilitation, Blind |
Taxonomy Definition: |