MEDICARE: ROGELIO M. ALLANIGUE MD INC

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	173000000X	Legal Medicine	MD033089L	PA

General Provider Information

NPI Number	:	1487834321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROGELIO M. ALLANIGUE MD INC

Provider Business Mailing Address
First Line	:	20 W HIGH ST
Second Line	:
City	:	UNION CITY
State	:	PA
Zip	:	16438-1229
Country	:	US
Telephone Number	:	814-438-2153
Fax Number	:	814-438-7463

Provider Business Practice Location Address
First Line	:	20 W HIGH ST
Second Line	:
City	:	UNION CITY
State	:	PA
Zip	:	16438-1229
Country	:	US
Telephone Number	:	814-438-2153
Fax Number	:	814-438-7463

Authorized Official
Title or Position	:	MD
Name	:	DR. ROGELIO MANALO ALLANIGUE
Credential	:	MD
Telephone Number	:	814-438-2153

Provider Enumeration Date	:	11/08/2007
Last Update Date	:	11/09/2007

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