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Individual
DR. BERNARD HOWARD RAVITZ
Active
Individual
DR. BERNARD HOWARD RAVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D0036846
MD
207R00000X
Internal Medicine Physician
Primary
D0036846
MD
207RA0401X
Addiction Medicine (Internal Medicine) Physician
D0036846
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067341200
—
MD
01
—
8666BH
BLUE CROSS BLUE SHIELD
MD
Enumeration date
08/08/2006
Last updated
03/21/2016
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