Dr. Ronald George Intelisano, D.O.
Internal Medicine in Blackwood, NJ. Individual provider (NPI-1).
NPI number1235200775
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1235200775
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ronald George Intelisano
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MB05610900 | NJ | Yes |
Practice location
1504 Blackwood Clementon RdBlackwood, NJ 08012-4625
Phone 856-228-0144 · Fax 856-232-0320
Mailing address
1504 Blackwood Clementon RdBlackwood, NJ 08012-4625
Phone 856-228-0144 · Fax 856-232-0320
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