Individual
RICHARD ANGELICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2005 FAIRVIEW AVE, SUITE A, EASTON, PA 18042-3915
(610) 923-5200
(610) 923-5272
Mailing address
2005 FAIRVIEW AVE, SUITE A, EASTON, PA 18042-3915
(610) 923-5200
(610) 923-5272
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD036604E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011098480003
—
PA
01
—
1684762
HIGHMARK BS OF PA
PA
01
—
50045369
CAPITAL BLUE CROSS
PA
Enumeration date
08/23/2005
Last updated
09/12/2016
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