Angelov, Alexander

Angelov, Alexander is an sole proprietor health care provider with primary practice located at 2 1St Ave Ste 215 , Peabody MA 01960-4962. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Angelov, Alexander can be contacted via phone (781) 593-8775.

Contact Information

Primary practice address
2 1St Ave Ste 215 Peabody MA 01960-4962
Phone: (781) 593-8775
Fax: (781) 990-2220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 150941 Massachusetts

Profile Details

NPI number 1144415506
LBN Legal business name Angelov, Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2007
Last updated Jan 21st, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144415506 NPPES
Massachusetts Other J16880 BLUE CROSS BLUE SHIELD
Massachusetts Other 150941 BLUE CROSS BLUE SHIELD
Massachusetts MEDICAID 3156826 BLUE CROSS BLUE SHIELD
Massachusetts Other 71280 BLUE CROSS BLUE SHIELD

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