Individual
RALPH J DI GIOVANNI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 BELMONT AVE, BALA CYNWYD, PA 19004-1302
(610) 667-4066
(610) 667-7955
Mailing address
501 BELMONT AVE, BALA CYNWYD, PA 19004-1302
(610) 667-4066
(610) 667-7955
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD071468L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1319228
BLUE SHIELD
PA
01
—
2012200000
KEYSTONE
PA
01
—
2853818
AETNA
PA
01
—
P00100824
RAILROAD MEDICARE
PA
Enumeration date
08/24/2006
Last updated
09/22/2014
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