Provider Demographics
NPI:1568258721
Name:CORRIGAN, RENE' MARCELLA (MD)
Entity type:Individual
Prefix:
First Name:RENE'
Middle Name:MARCELLA
Last Name:CORRIGAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:RENE
Other - Middle Name:MARCELLA
Other - Last Name:KRONLAGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10075 GATE PKWY N APT 614
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246-4422
Mailing Address - Country:US
Mailing Address - Phone:919-923-1155
Mailing Address - Fax:
Practice Address - Street 1:550 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-5506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program