Deangelis, Michael Alex

Deangelis, Michael Alex is an individual health care provider with primary practice located at 3401 N Broad St , Philadelphia PA 19140-5103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Deangelis, Michael Alex can be contacted via phone (215) 707-5030.

Contact Information

Primary practice address
3401 N Broad St Philadelphia PA 19140-5103
Phone: (215) 707-5030
Fax: (215) 707-3494
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD422941 Pennsylvania

Profile Details

NPI number 1891763975
LBN Legal business name Deangelis, Michael Alex
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Mar 21st, 2017 - about 7 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 1891763975 NPPES
Pennsylvania Other 1653754 HIGHMARK BS
Pennsylvania Other 2330394000 HIGHMARK BS
Pennsylvania MEDICAID 1012133930003 HIGHMARK BS

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