Individual
NICHOLAS DEANGELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
70 FALMOUTH ST, PORTLAND, ME 04103-4864
(207) 780-4249
Mailing address
6 AGAWAM LAKE SHORE DR, WAREHAM, MA 02571-1201
(401) 486-7449
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/06/2025
Last updated
09/06/2025
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