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Individual

JON S RATTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
789 CENTRAL AVE, EMERGENCY DEPARTMENT, DOVER, NH 03820-2526
(603) 740-2163
(405) 341-9217
Mailing address
PO BOX 845398, BOSTON, MA 02284-5398
(800) 684-1577
(405) 844-1794

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
785
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30011406
NH
01
P00234856
RAILROAD MEDICARE
Enumeration date
07/03/2006
Last updated
10/01/2013
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