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Individual

DR. NICHOLAS WILLIAM DEANGELIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
332 140 VILLAGE ROAD SUITE 1, WESTMINSTER, MD 21157-6196
(410) 876-9680
(410) 386-0876
Mailing address
332 140 VILLAGE ROAD SUITE 1, WESTMINSTER, MD 21157-6196
(480) 529-6034

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0082683
MD
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
225ILIDD
MD
Enumeration date
04/30/2015
Last updated
12/02/2025
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