Individual
RICARDO PLATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
31 COLCORD ST, SOUTH BERWICK, ME 03908-1004
(207) 384-4949
(207) 384-4273
Mailing address
PO BOX 412503, BOSTON, MA 02241-2503
(207) 384-4949
(207) 384-4273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1652
NH
363A00000X
Physician Assistant
Primary
PA2118
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3125195
—
NH
Enumeration date
09/22/2008
Last updated
02/24/2021
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