Individual
DR. ANGELA MARIE PRONGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD/PHD
Contact information
Practice address
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708
(240) 656-0833
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(240) 656-0833
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01080839A
IN
208D00000X
General Practice Physician
01080839A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD0000
MEDICARE MILITARY PHYSICIANS
—
Enumeration date
05/19/2017
Last updated
07/17/2025
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