Individual
GERALD ALAN RAVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 E UNION ST, POTTSVILLE, PA 17901-3519
(570) 622-8903
(570) 622-8037
Mailing address
100 E UNION ST, POTTSVILLE, PA 17901-3519
(570) 622-8903
(570) 622-8037
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD015113E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000641347
—
PA
Enumeration date
03/10/2006
Last updated
01/25/2011
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