Provider Demographics
NPI:1255374633
Name:COLANGELO, FRANCIS R (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:R
Last Name:COLANGELO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3824 NORTHERN PIKE
Mailing Address - Street 2:SUITE 700
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2141
Mailing Address - Country:US
Mailing Address - Phone:412-457-0060
Mailing Address - Fax:
Practice Address - Street 1:3824 NORTHERN PIKE
Practice Address - Street 2:SUITE 200
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2141
Practice Address - Country:US
Practice Address - Phone:412-380-2800
Practice Address - Fax:412-380-2812
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD034388E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001173670Medicaid
110079451OtherRAILROAD MEDICARE
068786OtherBLUE SHIELD
P000592OtherGATEWAY HEALTH PLAN
4040682OtherAETNA
102019OtherUPMC HEALTH PLAN
PA001173670Medicaid
4040682OtherAETNA
PA068786Medicare PIN