Individual
ANGELITO J DIONISIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2365 REYNOLDS AVENUE, BUILDING C 2ND FLOOR, N LAS VEGAS, NV 89030
(702) 839-0946
(702) 839-0149
Mailing address
10777 W TWAIN AVENUE, SUITE 225, LAS VEGAS, NV 89135
(702) 839-0946
(702) 839-0149
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
PENDING
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9086562017
SUMMIT
NJ
Enumeration date
07/03/2006
Last updated
07/08/2007
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