Provider Demographics
NPI:1699870915
Name:GEMIL-CORRAL, ANGELITA G (MD)
Entity type:Individual
Prefix:DR
First Name:ANGELITA
Middle Name:G
Last Name:GEMIL-CORRAL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:119 E UWCHLAN AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-1206
Mailing Address - Country:US
Mailing Address - Phone:610-903-6200
Mailing Address - Fax:610-903-6201
Practice Address - Street 1:119 E UWCHLAN AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-1206
Practice Address - Country:US
Practice Address - Phone:610-903-6200
Practice Address - Fax:610-903-6201
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD038182L207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAD21773Medicare UPIN