Individual
RAYMOND C OTOOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1370 WASHINGTON PIKE, SUITE 107, BRIDGEVILLE, PA 15017-2839
(412) 221-0160
(412) 221-0860
Mailing address
1370 WASHINGTON PIKE, SUITE 107, BRIDGEVILLE, PA 15017-2839
(412) 221-0160
(412) 221-0860
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD061104L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016494840003
—
PA
Enumeration date
08/04/2005
Last updated
10/01/2020
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