Deangelis, Nicola A

Deangelis, Nicola A is an individual health care provider with primary practice located at 281 Lincoln St Department Of Orthopedic Surgery, Worcester MA 01605-2138. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Deangelis, Nicola A can be contacted via phone (508) 334-6606.

Contact Information

Primary practice address
281 Lincoln St Department Of Orthopedic Surgery Worcester MA 01605-2138
Fax: (508) 334-5156
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 216394 Massachusetts
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 216394 Massachusetts

Profile Details

NPI number 1801887120
LBN Legal business name Deangelis, Nicola A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Oct 28th, 2020 - 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 1801887120 NPPES
Massachusetts MEDICAID 110033679A

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