Individual
ALBERT RAMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
109 S 15TH ST, EASTON, PA 18042-4038
(610) 559-1695
Mailing address
109 S 15TH ST, EASTON, PA 18042-4038
(610) 559-1695
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
46TR00266600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46TR00266600
LICENSED
NJ
Enumeration date
06/14/2007
Last updated
07/08/2007
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