Individual
DR. CLEMENT MICHAEL D'ANGELO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
981 ROZEL AVE, SOUTHAMPTON, PA 18966-4127
(215) 357-3668
Mailing address
981 ROZEL AVE, SOUTHAMPTON, PA 18966-4127
(215) 357-3668
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002708L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023126000
INDEPENDENCE BLUE CROSS
PA
01
—
0023131000
INDEPENDENCE BLUE CROSS
PA
01
—
12509
ELDER HEALTH
PA
05
—
977032
—
PA
Enumeration date
09/26/2005
Last updated
07/09/2007
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