Ravano, Edwin Quietson

Ravano, Edwin Quietson is an individual health care provider with primary practice located at 2550 Mosside Blvd , Monroeville PA 15146-3540. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ravano, Edwin Quietson can be contacted via phone (412) 372-6120.

Contact Information

Primary practice address
2550 Mosside Blvd Monroeville PA 15146-3540
Phone: (412) 372-6120
Fax: (412) 374-2828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD419798 Pennsylvania

Profile Details

NPI number 1710975628
LBN Legal business name Ravano, Edwin Quietson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Feb 7th, 2008 - about 16 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 1710975628 NPPES
Pennsylvania MEDICAID 0018912190001

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