Provider Demographics
NPI:1992717896
Name:WHETSTONE SR, RONALD JOSEPH (PA-C)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:JOSEPH
Last Name:WHETSTONE SR
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:MR
Other - First Name:TIMOTHY
Other - Middle Name:H
Other - Last Name:GRAHAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:JD, LLM
Mailing Address - Street 1:10003 WARFIELD PL
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114-1520
Mailing Address - Country:US
Mailing Address - Phone:215-632-8310
Mailing Address - Fax:215-823-4425
Practice Address - Street 1:433 CAREDEAN DR
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-1321
Practice Address - Country:US
Practice Address - Phone:215-823-6050
Practice Address - Fax:215-823-4425
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA000214L363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical