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Organization

ROBERT N DEANGELIS MD LTD

Active
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Organization

ROBERT N DEANGELIS MD LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT N DEANGELIS SR. M.D. (PRESIDENT)
(703) 451-8777
Entity
Organization

Contact information

Practice address
8346 TRAFORD LN, SPRINGFIELD, VA 22152-1600
(703) 451-8777
(703) 451-6936
Mailing address
8346 TRAFORD LN, SPRINGFIELD, VA 22152-1600
(703) 451-8777
(703) 451-6936

Taxonomy

Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
0101057902
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
163153
PTAN
Enumeration date
10/06/2008
Last updated
10/06/2008
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