Individual
MS. MERCEDES R COLANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
115 LINCOLN ST, FRAMINGHAM, MA 01702-6358
(508) 383-1104
Mailing address
115 LINCOLN ST, FRAMINGHAM, MA 01702-6358
(508) 383-1104
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2935
AZ
363A00000X
Physician Assistant
Primary
PA2129
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3981220
EVERCARE GRP
AZ
01
—
453051001
GROUP HEALTH GRP
AZ
05
—
832685
—
AZ
01
—
86C373636
HUMANA GROUP
AZ
01
—
AW1436
HEALTHNET GRP
AZ
Enumeration date
05/27/2006
Last updated
07/17/2023
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