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NPI Code Detail

MEDICARE: RENJELL AMATORIO PA-C

MEDICARE: RENJELL AMATORIO 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
1363A00000XPhysician Assistant50.007935RXOH

General Provider Information

NPI Number : 1922694959
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENJELL AMATORIO PA-C
Provider Business Mailing Address
First Line : PO BOX 7527
Second Line :
City : DUBLIN
State : OH
Zip : 43017-0727
Country : US
Telephone Number : 614-788-6010
Fax Number :
Provider Business Practice Location Address
First Line : 3535 OLENTANGY RIVER RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-3908
Country : US
Telephone Number : 614-566-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2020
Last Update Date : 03/19/2026

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Directions to “ RENJELL AMATORIO PA-C” Practice Location

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