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Individual

PAUL ANGOTTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2400 MARYLAND RD, SUITE 30, WILLOW GROVE, PA 19090-1700
(215) 659-4400
(215) 659-5931
Mailing address
2400 MARYLAND RD, SUITE 30, WILLOW GROVE, PA 19090-1700
(215) 659-4400
(215) 659-5931

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC002408L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0008951000004
PA
01
480018666
RR MEDICARE PALMETTO GBA
Enumeration date
06/22/2005
Last updated
08/15/2012
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