Provider Demographics
NPI:1508618711
Name:ORLANDINI, PETER (SPT)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:ORLANDINI
Suffix:
Gender:M
Credentials:SPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20118 TORREY POND PL
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY VILLAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20886-1120
Mailing Address - Country:US
Mailing Address - Phone:301-250-3758
Mailing Address - Fax:
Practice Address - Street 1:20118 TORREY POND PL
Practice Address - Street 2:
Practice Address - City:MONTGOMERY VILLAGE
Practice Address - State:MD
Practice Address - Zip Code:20886-1120
Practice Address - Country:US
Practice Address - Phone:301-250-3758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program