Provider Demographics
NPI:1851799068
Name:ANGELASTRO KRANTZ, ROSELYNN (MD)
Entity Type:Individual
Prefix:
First Name:ROSELYNN
Middle Name:
Last Name:ANGELASTRO KRANTZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1849 YONGE ST
Mailing Address - Street 2:902
Mailing Address - City:TORONTO
Mailing Address - State:ON
Mailing Address - Zip Code:M4S 1Y2
Mailing Address - Country:CA
Mailing Address - Phone:416-487-1060
Mailing Address - Fax:
Practice Address - Street 1:1849 YONGE ST
Practice Address - Street 2:902
Practice Address - City:TORONTO
Practice Address - State:ON
Practice Address - Zip Code:M4S 1Y2
Practice Address - Country:CA
Practice Address - Phone:416-487-1060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-22
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA55989208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice