Individual
DR. ANGELO DE LOS ANGELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41 BREWSTER RD, BRISTOL HOSPITAL, BRISTOL, CT 06010-5161
(860) 585-3474
Mailing address
41 BREWSTER RD, BRISTOL HOSPITAL, BRISTOL, CT 06010-5161
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
053792
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
01/24/2013
Last updated
06/01/2015
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