# ANGELO J RATINI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114973567
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS005724L | PA | Yes |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | OS005724L | PA | — |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 07/19/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0004133846 | AETNA MANAGED CARE | PA |
| 05 | — | 0010420880002 | — | PA |
| 01 | — | 0022648000 | KEYSTONE | PA |
| 01 | — | 080181037 | RAILROAD MEDICARE | PA |
| 01 | — | 1025861 | KEYSTONE MERCY | PA |
| 01 | — | 117457 | IBC | PA |
| 01 | — | 19956 | AETNA HMO | PA |
| 01 | — | 232544487 | HORIZON/ NJ BLUE SHIELD | PA |
| 01 | — | 6112538A | CIGNA HMO | PA |
| 01 | — | BUP001 | OXFORD | PA |
