Individual
ANGELO DEGUGLIELMO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
540 AMSTERDAM AVE, NEW YORK, NY 10024-2804
(212) 712-2821
Mailing address
288 GROVE ST STE 300P, WORCESTER, MA 01605-3934
(508) 926-6850
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051290328
IL
183500000X
Pharmacist
2056785
NY
183500000X
Pharmacist
Primary
PH232776
MA
1835P1300X
Psychiatric Pharmacist
PH232776
MA
Other
Enumeration date
06/28/2012
Last updated
03/31/2023
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