Individual
ROBERT A. RAMIREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4814 N BROAD ST, PHILADELPHIA, PA 19141-2108
(215) 324-5853
(215) 324-6764
Mailing address
PO BOX 305, MOUNT LAUREL, NJ 08054-0305
(609) 980-1190
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC007402L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0768798000
BCBS INDIVIDUAL HMO NO
PA
01
—
3137403
AETNA HMO PROVIDER NO
PA
01
—
5785730
AETNA PPO PROVIDER NO
PA
Enumeration date
05/04/2007
Last updated
07/09/2007
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