Provider Demographics
NPI:1275189375
Name:ATN PHYSICIANS & ASSOCIATES LLC
Entity Type:Organization
Organization Name:ATN PHYSICIANS & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CMO
Authorized Official - Prefix:
Authorized Official - First Name:ATHOS
Authorized Official - Middle Name:R
Authorized Official - Last Name:CERRATO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:484-535-1231
Mailing Address - Street 1:115 CETON CT
Mailing Address - Street 2:
Mailing Address - City:BROOMALL
Mailing Address - State:PA
Mailing Address - Zip Code:19008-2500
Mailing Address - Country:US
Mailing Address - Phone:484-535-1231
Mailing Address - Fax:866-286-5115
Practice Address - Street 1:620 CHURCHMANS RD STE 103
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-1945
Practice Address - Country:US
Practice Address - Phone:877-286-5115
Practice Address - Fax:866-286-4935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-14
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction MedicineGroup - Multi-Specialty
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Multi-Specialty
No207LA0401XAllopathic & Osteopathic PhysiciansAnesthesiologyAddiction MedicineGroup - Multi-Specialty
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Multi-Specialty