Individual
MARC DEANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
245 NORTH ST, STONEHAM, MA 02180-2109
(781) 922-0352
Mailing address
25 CITATION AVE, STONEHAM, MA 02180-1951
(781) 922-0352
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2349
MA
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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