Provider Demographics
NPI:1932155579
Name:UY, NENITO P (MD)
Entity type:Individual
Prefix:
First Name:NENITO
Middle Name:P
Last Name:UY
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:213 REECEVILLE RD
Mailing Address - Street 2:STE 23
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-1528
Mailing Address - Country:US
Mailing Address - Phone:610-384-6550
Mailing Address - Fax:610-384-7329
Practice Address - Street 1:213 REECEVILLE RD
Practice Address - Street 2:STE 23
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-1528
Practice Address - Country:US
Practice Address - Phone:610-384-6550
Practice Address - Fax:610-384-7329
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2011-11-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD028578E208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010200530007Medicaid
PA0010200530004Medicaid
PA438530Medicare PIN
PA0010200530004Medicaid