Individual
MRS. DEIDRE MARIE ANGELINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1 N BELFIELD AVE, SUNNY DAYS, HAVERTOWN, PA 19083-4904
(610) 449-1600
(610) 449-2655
Mailing address
158 JUNIPER DR, LEVITTOWN, PA 19056-2730
(215) 547-3809
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OC006947L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001936830-0003
—
PA
Enumeration date
05/22/2007
Last updated
07/08/2007
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