Provider Demographics
NPI:1487834321
Name:ROGELIO M. ALLANIGUE MD INC
Entity Type:Organization
Organization Name:ROGELIO M. ALLANIGUE MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:ROGELIO
Authorized Official - Middle Name:MANALO
Authorized Official - Last Name:ALLANIGUE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-438-2153
Mailing Address - Street 1:20 W HIGH ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16438-1229
Mailing Address - Country:US
Mailing Address - Phone:814-438-2153
Mailing Address - Fax:814-438-7463
Practice Address - Street 1:20 W HIGH ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:PA
Practice Address - Zip Code:16438-1229
Practice Address - Country:US
Practice Address - Phone:814-438-2153
Practice Address - Fax:814-438-7463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-08
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD033089L173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C30907Medicare UPIN
PA007489Medicare PIN