Provider Demographics
NPI:1699921544
Name:RAGASA, DANTE ALCASID (MD)
Entity type:Individual
Prefix:
First Name:DANTE
Middle Name:ALCASID
Last Name:RAGASA
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 1:798 WOODLANE RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:WESTAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-2306
Mailing Address - Country:US
Mailing Address - Phone:609-519-1455
Mailing Address - Fax:
Practice Address - Street 1:900 TOWN CENTER DR
Practice Address - Street 2:SUITE H-100
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-3244
Practice Address - Country:US
Practice Address - Phone:215-741-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD072623L207ZP0102X
NJ25MA03080200207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology