DR. Ronald George Intelisano, D.O.

NPI #1235200775 in Blackwood, New Jersey

Provider Information

NPI Number: 1235200775
Entity Type: Individual
Name: DR. Ronald George Intelisano, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: D.O.
Enumeration Date: Nov 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1504 BLACKWOOD CLEMENTON RD
City: Blackwood
State: New Jersey
ZIP Code: 08012-4625
Phone: (856) 228-0144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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