DR. RONALD GEORGE INTELISANO (D.O.) – Internal Medicine Physician, NPI 1235200775
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2018-01-18. Reason: License revocation, suspension, or surrender.
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. RONALD GEORGE INTELISANO (D.O.)
1504, Blackwood-Clementon Road, Millbridge, Gloucester Township, Camden County, New Jersey, 08012, United States
BLACKWOOD, NJ 080124625
Phone: (856) 228-0144
Fax: (856) 232-0320
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 08012)
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