Provider Demographics
NPI:1891798096
Name:DRATCH, ADAM D (MD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:D
Last Name:DRATCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 OSTRUM ST
Mailing Address - Street 2:SUITE 602
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015
Mailing Address - Country:US
Mailing Address - Phone:610-865-5888
Mailing Address - Fax:610-865-1697
Practice Address - Street 1:701 OSTRUM ST
Practice Address - Street 2:SUITE 602
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015
Practice Address - Country:US
Practice Address - Phone:610-865-5888
Practice Address - Fax:610-865-1697
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD056986L207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0000222410401OtherUNITED HEALTHCARE
000000131022OtherUNISON HEALTH PLAN
20008586OtherAMERIHEALTH MERCY HEALTH
PA0017115530002Medicaid
56761OtherGEISINGER HEALTH PLAN
NJ0067962Medicaid
000021049OtherHIGHMARK BLUE SHIELD
01398002OtherCAPITAL BLUE CROSS
1520684OtherGATEWAY HEALTH PLAN
56761OtherGEISINGER HEALTH PLAN
PA390005571Medicare PIN
PA013380GPKMedicare PIN
NJ0067962Medicaid