Individual
ANGELA DUMITRACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4540 MACK AVE STE B, FREDERICK, MD 21703-3303
(301) 733-0331
(301) 733-4038
Mailing address
13121 BROOK LANE, HAGERSTOWN, MD 21742-1514
(301) 733-0331
(301) 733-4038
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21360
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2006675000
—
WV
Enumeration date
07/12/2005
Last updated
02/15/2018
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