Provider Demographics
NPI:1427005909
Name:RADCLIFFE FAMILY PRACTICE, P.C.
Entity Type:Organization
Organization Name:RADCLIFFE FAMILY PRACTICE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANGELO
Authorized Official - Middle Name:J
Authorized Official - Last Name:RATINI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-785-9837
Mailing Address - Street 1:205 RADCLIFFE ST
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:PA
Mailing Address - Zip Code:19007-5017
Mailing Address - Country:US
Mailing Address - Phone:215-788-7070
Mailing Address - Fax:215-788-7560
Practice Address - Street 1:205 RADCLIFFE ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:PA
Practice Address - Zip Code:19007-5017
Practice Address - Country:US
Practice Address - Phone:215-788-7070
Practice Address - Fax:215-788-7560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2022-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA435578OtherBLUE SHIELD
PACJ5271OtherRAILROAD MEDICARE
PA022685001OtherKEYSTONE
PA0435578OtherAMERIHEALTH ADM.
PA6112538AOtherCIGNA HMO
PA660OtherAETNA HMO
PA1025787OtherKEYSTONE MERCY
PA=========OtherCIGNA PPO
PA0435578OtherAMERIHEALTH ADM.
PA=========OtherNEW JERSEY BLUE SHIELD
PA1025787OtherKEYSTONE MERCY
PA=========OtherAETNA MANAGED CARE