| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DANIEL RA | 1386881928 | 2024-11-08 |
Daniel J Ra [M] graduated in 2008 from Philadelphia College Of Osteopathic Medicine and primarily specializes in Nephrology.
Daniel Ra is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1386881928. Registration indicates Daniel Ra is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine (Internal Medicine: Nephrology, ) (Specialist Network, ) (Internal Medicine Nephrology, Allopathic & Osteopathic Physicians) (Internal Medicine, )
| PECOS ID | 8729221288 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Daniel Ra D.O. |
| Practice Office Address | 401 KINGS HWY S STE 5 CHERRY HILL, NJ US |
| Practice Office Telephone | 8564288992 |
| Practice Office Fax | 8564289614 |
| Mailing Address | 301 LIPPINCOTT DR STE 410 MARLTON, NJ 080534197 US |
| Business Telephone | 8563550340 |
| Business Fax | 8563550330 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 100 Brick Rd Ste 207 | Marlton, NJ 080532146 | 8564288992 / 8564289614 |
| 200 Bowman Dr Ste E385 | Voorhees, NJ 080439638 | 8564288992 / 8564289614 |
| 75 White Horse Pike, Back | Hammonton, NJ 08037 | 8564288992 / 8564289614 |
| 239 Hurffville Crosskeys Rd Ste 210B | Sewell, NJ 080804003 | 8564288992 / 8564289614 |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 207RN0300X PRIMARY | Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine: Nephrology Specialist Network Internal Medicine Nephrology Allopathic & Osteopathic Physicians Internal Medicine | 25MB08974500
NJ |
| 0362018 | MEDICAID | NJ |