Angel, Andrew
Angel, Andrew is an individual health care provider with primary practice located at 40 Holland St Internal Medicine, Somerville MA 02144-2705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Angel, Andrew can be contacted via phone (617) 629-6350.Contact Information
Primary practice address
40 Holland St Internal Medicine
Somerville MA 02144-2705
Phone: (617) 629-6350
Fax: (617) 629-6067
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 160093 | Massachusetts |
Profile Details
| NPI number | 1417927724 |
|---|---|
| LBN Legal business name | Angel, Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Oct 21st, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417927724 | NPPES |
| Massachusetts | Other | J21916 | BLUE CROSS |
| Massachusetts | MEDICAID | 3204812 | BLUE CROSS |
| Massachusetts | Other | 404171 | BLUE CROSS |
| Massachusetts | Other | HV0052 | BLUE CROSS |
Popular Providers
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Moran, Donald F
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