Dale T. Ralston, P.A.
Individual provider Active NPI Medical Physician Assistant · Eddystone, PA
NPI 1326201732 · NPPES record last updated Mar 8, 2017
Key facts
- NPI
- 1326201732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- OA000732 (PA)
- Practice address
- 1510 Chester Pike
Suite 130
Eddystone, PA 19022-1375 - Phone
- (610) 521-6063
- Fax
- (610) 521-0163
- NPI assigned
- Jul 7, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PA Rehab Associates PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | OA000732 | PA | Yes |
| Medical Physician Assistant | 363AM0700X | MA000158L | PA |
Addresses
Primary practice location
1510 Chester Pike
Suite 130
Eddystone, PA 19022-1375
Mailing address
PO Box 199
Ridley Park, PA 19078-0199
Phone (610) 521-6063
Other providers in Eddystone, PA
- Damika Denise Nesbitt
- Rachel Katya Neuschatz
- Fiona Omambia
- Prosthetic Innovations, LLC
- Kathy Pursel
- Joseph John Ricci
- Allen Silberman
- Douglas Smith
- Starer Rizzo Ruffini Ophthalmic Associates, P.C.
- Susan Barb CRNP, LLC
All providers in Eddystone, PA · Medical Physician Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.