MEDICARE: MRS. ADRIENNE LAUREN RINALDI PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	25MP00511200	NJ

General Provider Information

NPI Number	:	1013561422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ADRIENNE LAUREN RINALDI PA-C

Provider Business Mailing Address
First Line	:	1008 NORTH 3RD STREET
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19123
Country	:	US
Telephone Number	:	609-330-6535
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 STATE HIGHWAY 70, RELIEVUS
Second Line	:
City	:	CHERRY HILL
State	:	NJ
Zip	:	08034-0000
Country	:	US
Telephone Number	:	888-985-2727
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2019
Last Update Date	:	07/25/2019

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