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Individual

MARLA CATHLEEN ANGERMEIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
148 W RIVER ST, SUITE 1 B, PROVIDENCE, RI 02904-2615
(401) 273-9310
(401) 273-1270
Mailing address
526 MAIN ST STE 302, ACTON, MA 01720-3301
(978) 371-7010
(978) 371-0522

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
6161
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003626
BLUE CHIP
RI
01
050423719
UNITED HEALTH PLAN
RI
01
070001832
RAILROAD MEDICARE
RI
01
2741
BLUE CROSS
RI
05
900274
RI
Enumeration date
12/26/2006
Last updated
09/20/2022
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