Individual
ALEXANDRA J ANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17 ALICE PECK DAY DR, LEBANON, NH 03766-2904
(603) 442-5630
(603) 442-5631
Mailing address
10 ALICE PECK DAY DR, LEBANON, NH 03766-2900
(603) 442-5630
(603) 442-5631
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055880
PA
Other
Enumeration date
11/19/2012
Last updated
04/24/2017
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