Individual
DR. WILLIAM G DOLENGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10729 BIRMINGHAM WAY, SUITE A, WOODSTOCK, MD 21163-1403
(410) 461-0080
(410) 461-8566
Mailing address
10729 BIRMINGHAM WAY, SUITE A, WOODSTOCK, MD 21163-1403
(410) 461-0080
(410) 461-8566
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01969
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1077382
AETNA ID
MD
01
—
1626689
UHC ID
MD
01
—
4114301
MAMSI ID
MD
01
—
620634-02
BCBS
MD
01
—
N162-0001
BCBS REGIONAL
MD
Enumeration date
01/12/2007
Last updated
07/08/2007
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