Individual
BILIANA C ANGELOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 FORDHAM RD, ALLSTON, MA 02134-3006
(617) 782-6460
Mailing address
14 FORDHAM RD, ALLSTON, MA 02134-3006
(617) 782-6460
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000008411
BMC
MA
01
—
1001510
BEACON NHP
MA
05
—
1319744
—
MA
01
—
691470
TUFTS
MA
01
—
782170
NETWORK HEALTH
MA
Enumeration date
03/26/2007
Last updated
07/08/2007
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