Provider Demographics
NPI:1013105378
Name:ROLANDO B. ALEGADO MD PA
Entity type:Organization
Organization Name:ROLANDO B. ALEGADO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHOPAEDIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:ROLANDO
Authorized Official - Middle Name:B
Authorized Official - Last Name:ALEGADO
Authorized Official - Suffix:
Authorized Official - Credentials:MD,PA
Authorized Official - Phone:410-354-2233
Mailing Address - Street 1:PO BOX 630015
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21263-0015
Mailing Address - Country:US
Mailing Address - Phone:410-354-2233
Mailing Address - Fax:410-354-1544
Practice Address - Street 1:3001 S HANOVER ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21225-1233
Practice Address - Country:US
Practice Address - Phone:410-354-2233
Practice Address - Fax:410-354-1544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD21628174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDW93250Medicare UPIN
MD148LMedicare PIN