Provider Demographics
NPI:1639118581
Name:RICE, NATALIE M (MD)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:M
Last Name:RICE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 783311
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-3311
Mailing Address - Country:US
Mailing Address - Phone:610-798-4500
Mailing Address - Fax:610-798-4699
Practice Address - Street 1:1365 BLUE MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:DANIELSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18038-9738
Practice Address - Country:US
Practice Address - Phone:610-767-4315
Practice Address - Fax:610-767-9420
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2016-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD057130L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0898545000OtherKEYSTONE EAST
PA852306OtherHIGHMARK BLUE SHIELD
PA0898545000OtherKEYSTONE EAST
PAG24252Medicare UPIN