Provider Demographics
NPI:1043659097
Name:AUTORINO, ANNAMARIA (MD)
Entity type:Individual
Prefix:
First Name:ANNAMARIA
Middle Name:
Last Name:AUTORINO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANNAMARIA
Other - Middle Name:
Other - Last Name:RUZIEV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4300 LONDONDERRY RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-5317
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2500 BERNVILLE RD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19605-9453
Practice Address - Country:US
Practice Address - Phone:610-378-2735
Practice Address - Fax:610-378-2664
Is Sole Proprietor?:No
Enumeration Date:2013-06-21
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD455568207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine