Individual
DR. CHRISTOPHER PAUL DEANGELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 BROADWAY, SOMERVILLE PEDIATRICS, SOMERVILLE, MA 02145-2935
(617) 284-7000
Mailing address
300 BROADWAY, SOMERVILLE PEDIATRICS, SOMERVILLE, MA 02145-2935
(617) 284-7000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
154686
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3175006
—
MA
01
—
J18691
BCBS MA
MA
Enumeration date
10/31/2005
Last updated
12/02/2011
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