Individual
MONIQUE VANRENTERGHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
620 HOWARD AVENUE, ALTOONA, PA 16601
(814) 889-2866
(814) 889-6785
Mailing address
620 HOWARD AVENUE, ALTOONA, PA 16601
(814) 889-2866
(814) 889-6785
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS020551
PA
390200000X
Student in an Organized Health Care Education/Training Program
OS020551
PA
Other
Enumeration date
05/17/2016
Last updated
01/30/2023
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