Individual
RONNY E ANTELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD066714L
PA
2084N0400X
Neurology Physician
Primary
MD066714L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017943500002
—
PA
01
—
0293984000
INDEPENDENCE BLUE CROSS
PA
01
—
1113859
KEYSTONE MERCY
PA
01
—
111885
HIGHMARK BLUE SHIELD
PA
01
—
130021904
RAILROAD MEDICARE
PA
01
—
2257495
AETNA
PA
01
—
29404
HEALTH PARTNERS
PA
01
—
2Y2767
ELDER HEALTH
PA
Enumeration date
07/02/2006
Last updated
03/01/2016
Update your record
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