Individual
DR. MARYLOU RAINONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
100 SCHUYLKILL MEDICAL PLZ, STE 204, POTTSVILLE, PA 17901-3636
(570) 621-5740
(570) 621-6367
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS007230L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023056870001
—
PA
Enumeration date
09/29/2005
Last updated
08/11/2020
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