Individual
ATHOS R CERRATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1120 W TOWNSHIP LINE RD FL 2, HAVERTOWN, PA 19083-4930
(877) 286-5115
(866) 286-4935
Mailing address
2207 CONCORD PIKE STE 290, WILMINGTON, DE 19803-2908
(856) 981-4220
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
OS-005690L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203108296
TAX ID
NJ
05
—
8831807
—
NJ
Enumeration date
07/25/2006
Last updated
08/03/2021
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