Provider Demographics
NPI:1407872070
Name:CARABASI, RALPH ANTHONY III (MD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:ANTHONY
Last Name:CARABASI
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:744 W LANCASTER AVE
Mailing Address - Street 2:SUITE 225
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-2523
Mailing Address - Country:US
Mailing Address - Phone:610-687-5347
Mailing Address - Fax:610-687-1450
Practice Address - Street 1:744 W LANCASTER AVE
Practice Address - Street 2:SUITE 225
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-2523
Practice Address - Country:US
Practice Address - Phone:610-687-5347
Practice Address - Fax:610-687-1450
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2011-09-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD022004E208600000X, 2085R0204X, 2085R0202X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC29347Medicare UPIN