Individual
DAVID FRED RATLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2025 HAMBURG TPKE STE C, WAYNE, NJ 07470-6250
(973) 898-5999
(973) 831-2025
Mailing address
2025 HAMBURG TPKE STE C, WAYNE, NJ 07470-6250
(973) 898-5999
(973) 831-2025
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
25MA09643600
NJ
207XS0106X
Orthopaedic Hand Surgery Physician
262236
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA09643600
NJ MEDICAL LICENSE
NJ
01
—
262236
LICENSE
NY
Enumeration date
08/08/2011
Last updated
05/05/2020
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