Basic Information
| Provider Information | |||||||||
| NPI: | 1134400641 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RENATA ANGELINI PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 901 N PENN ST | ||||||||
| Address2: | APT R407 | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191233132 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6105241552 | ||||||||
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| Practice Location | |||||||||
| Address1: | 901 N PENN ST | ||||||||
| Address2: | APT R407 | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191233132 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6105241552 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2011 | ||||||||
| LastUpdateDate: | 09/21/2011 | ||||||||
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| AuthorizedOfficialLastName: | ANGELINI | ||||||||
| AuthorizedOfficialFirstName: | RENATA | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 6103638589 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | MD438118 | PA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.