Provider Demographics
NPI:1083712699
Name:RIGANO, RUDOLPH F JR (MD)
Entity Type:Individual
Prefix:DR
First Name:RUDOLPH
Middle Name:F
Last Name:RIGANO
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 HARRISBURG AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-2959
Mailing Address - Country:US
Mailing Address - Phone:717-393-1387
Mailing Address - Fax:717-735-0702
Practice Address - Street 1:230 HARRISBURG AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-2959
Practice Address - Country:US
Practice Address - Phone:717-393-1387
Practice Address - Fax:717-735-0702
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039296L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0965579Medicaid
PAB33497Medicare UPIN
PARI24287Medicare PIN