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Individual
PAUL ANGOTTI
Active
Individual
PAUL ANGOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC002408L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008951000004
—
PA
01
—
480018666
RR MEDICARE PALMETTO GBA
—
Enumeration date
06/22/2005
Last updated
08/15/2012
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