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Individual

DR. JEFFREY A RANTA

Active
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Individual

DR. JEFFREY A RANTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
025617
CT
208800000X
Urology Physician
Primary
MD464517
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001256171
CT
01
010025617CT01
BC/BS
01
020035
HEALTHNET
01
025617
CONNETICARE
01
340004055
RAILROAD MEDICARE
01
567460
AETNA
01
ZS719
OXFORD
Enumeration date
06/09/2005
Last updated
04/29/2020
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