Basic Information
Provider Information
NPI: 1619951480
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RIENZI
FirstName: JOSEPH
MiddleName: P
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 60
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152300060
CountryCode: US
TelephoneNumber: 4129375726
FaxNumber: 4129375706
Practice Location
Address1: 700 QUINCY AVE
Address2:  
City: SCRANTON
State: PA
PostalCode: 185101724
CountryCode: US
TelephoneNumber: 5703074225
FaxNumber: 5703074226
Other Information
ProviderEnumerationDate: 12/05/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202XMD043936EPAY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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