Otoole, Raymond C

Otoole, Raymond C is an individual health care provider with primary practice located at 1370 Washington Pike Suite 107, Bridgeville PA 15017-2839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Otoole, Raymond C can be contacted via phone (412) 221-0160.

Contact Information

Primary practice address
1370 Washington Pike Suite 107 Bridgeville PA 15017-2839
Phone: (412) 221-0160
Fax: (412) 221-0860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD061104L Pennsylvania

Profile Details

NPI number 1033110648
LBN Legal business name Otoole, Raymond C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2005
Last updated Oct 1st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033110648 NPPES
Pennsylvania MEDICAID 0016494840003

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