Organization
BERKS DIABETES MANAGEMENT
Active
Organization
BERKS DIABETES MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH MICHAEL CINCINNATI CRNP (NURSE PRACTITIONER)
(610) 927-9815
Entity
Organization
Contact information
Practice address
1030 REED AVE, SUITE 116, WYOMISSING, PA 19610-2039
(610) 373-7743
(610) 378-9337
Mailing address
1030 REED AVE, SUITE 116, WYOMISSING, PA 19610-2039
(610) 373-7743
(610) 378-9337
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
SP007277
PA
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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