Individual
DR. SUSAN ANGELISANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
333 NORMAL AVE, KUTZTOWN, PA 19530-1640
(610) 683-5522
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD072027L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000222333-PCP
UNISON
PA
01
—
000000222335-HBP
UNISON
PA
01
—
001769844
HIGHMARK
PA
05
—
1014183360001
—
PA
01
—
1545407
GATEWAY
PA
01
—
20064465
MERCY
PA
01
—
2451692000
INDEPENDENCE BLUE CROSS
PA
01
—
50070801
CAPITAL BLUE CROSS/KEYSTONE HEALTH PLAN CENTRAL
PA
Enumeration date
06/17/2005
Last updated
01/28/2016
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