Angelisanti, Susan

Angelisanti, Susan is an individual health care provider with primary practice located at 333 Normal Ave , Kutztown PA 19530-1640. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Angelisanti, Susan can be contacted via phone (610) 683-5522.

Contact Information

Primary practice address
333 Normal Ave Kutztown PA 19530-1640
Phone: (610) 683-5522
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD072027L Pennsylvania

Profile Details

NPI number 1891790572
LBN Legal business name Angelisanti, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jan 28th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891790572 NPPES
Pennsylvania Other 2451692000 INDEPENDENCE BLUE CROSS
Pennsylvania Other 000000222335-HBP INDEPENDENCE BLUE CROSS
Pennsylvania MEDICAID 1014183360001 INDEPENDENCE BLUE CROSS
Pennsylvania Other 000000222333-PCP INDEPENDENCE BLUE CROSS
Pennsylvania Other 001769844 INDEPENDENCE BLUE CROSS
Pennsylvania Other 20064465 INDEPENDENCE BLUE CROSS
Pennsylvania Other 50070801 INDEPENDENCE BLUE CROSS
Pennsylvania Other 1545407 INDEPENDENCE BLUE CROSS

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