Provider Demographics
NPI:1568490514
Name:ALLANIGUE, ROGELIO MANALO (MD)
Entity Type:Individual
Prefix:DR
First Name:ROGELIO
Middle Name:MANALO
Last Name:ALLANIGUE
Suffix:
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 1:20 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
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD033089L207Q00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC30907Medicare UPIN
PA124591Medicare PIN