Dr. Ronald G Intelisano, DO
Internal Medicine in Blackwood, New Jersey
1235200775- Practice location
- 1504 Blackwood Clementon RD, Blackwood, NJ 08012-4625
- Phone
- 856-228-0144
- Fax
- 856-232-0320
- Last updated
- July 8, 2007
Ronald George Intelisano is an Internal Medicine based in Blackwood, NJ. Ronald George Intelisano practices in Blackwood, NJ and has the professional credentials of DO. The NPI Number for Ronald George Intelisano is 1235200775 and holds a License No. MB05610900 (NJ). The current practice location address for Ronald George Intelisano is 1504 Blackwood Clementon RD, Blackwood, NJ 08012-4625 and can be reached out via phone at 856-228-0144 and via fax at 856-232-0320.
Provider Profile Details
- NPI Number
- 1235200775
- Provider Name
- Ronald George Intelisano
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1504 Blackwood Clementon RD, Blackwood, NJ 08012-4625
- Phone Number
- 856-228-0144
- Fax Number
- 856-232-0320
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 13, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1504 Blackwood Clementon RD
Blackwood, NJ 08012-4625 - City
- Blackwood
- State
- New Jersey
- Zip
- 08012-4625
- Phone Number
- 856-228-0144
- Fax Number
- 856-232-0320
Provider Business Mailing Address Details
- Address
- 1504 Blackwood Clementon RD
Blackwood, NJ 08012-4625 - City
- Blackwood
- State
- NJ
- Zip
- 08012-4625
- Phone Number
- 856-228-0144
- Fax Number
- 856-232-0320
License Information
- License Number
- MB05610900
- License State
- NJ
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near Blackwood, NJ
View all Internal Medicine providers in Blackwood →Frequently Asked Questions
What is the NPI number of Dr. Ronald G Intelisano, DO?
The NPI number of Dr. Ronald G Intelisano, DO is 1235200775. It was assigned on November 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Ronald G Intelisano, DO?
Dr. Ronald G Intelisano, DO is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number MB05610900.
Where does Dr. Ronald G Intelisano, DO practice?
The practice location is 1504 Blackwood Clementon RD, Blackwood, NJ 08012-4625. The office can be reached at 856-228-0144 (phone) or 856-232-0320 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235200775 directly on the NPPES registry website.