Individual
DR. ALEXANDER ANGELOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 1ST AVE STE 215, PEABODY, MA 01960-4962
(781) 593-8775
(781) 990-2220
Mailing address
1 COMMONWEALTH TER, SWAMPSCOTT, MA 01907-2616
(781) 392-4464
(781) 990-2220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
150941
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150941
TUFTS
MA
05
—
3156826
—
MA
01
—
71280
HARVARD PILGRIM HEALTH
MA
01
—
J16880
BLUE CROSS BLUE SHIELD
MA
Enumeration date
09/10/2007
Last updated
01/21/2021
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