Individual
HUMBERTO RAMON DORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18201 CONNEAUT LAKE RD, MEADVILLE, PA 16335
(814) 333-5061
(814) 333-5067
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-5061
(814) 333-5067
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD427348
PA
Other
Enumeration date
02/24/2006
Last updated
10/02/2020
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