Individual
DR. DONALD A RADDATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3284
(607) 547-4648
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(607) 547-3284
(607) 547-4648
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
147101
NY
207RR0500X
Rheumatology Physician
Primary
147101
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01162918
—
NY
Enumeration date
04/20/2006
Last updated
01/30/2008
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