Raddatz, Donald A

Raddatz, Donald A is an individual health care provider with primary practice located at 1 Atwell Rd , Cooperstown NY 13326-1301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Raddatz, Donald A can be contacted via phone (607) 547-3284.

Contact Information

Primary practice address
1 Atwell Rd Cooperstown NY 13326-1301
Phone: (607) 547-3284
Fax: (607) 547-4648
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 147101 New York
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 147101 New York

Profile Details

NPI number 1033175963
LBN Legal business name Raddatz, Donald A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jan 30th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033175963 NPPES
New York MEDICAID 01162918

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