Provider Demographics
NPI:1083685879
Name:UNICE, RONALD M (DO)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:M
Last Name:UNICE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:765 LIBERTY ST
Mailing Address - Street 2:SUITE 109
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-2566
Mailing Address - Country:US
Mailing Address - Phone:814-337-5373
Mailing Address - Fax:814-337-3229
Practice Address - Street 1:765 LIBERTY ST
Practice Address - Street 2:SUITE 109
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-2566
Practice Address - Country:US
Practice Address - Phone:814-337-5373
Practice Address - Fax:814-337-3229
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-30
Last Update Date:2021-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS-005951-L207Q00000X
PAOS005951L207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010485190002Medicaid
PAD98775Medicare UPIN
PA0010485190002Medicaid