Individual
DR. GERALD PAUL DEANGELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2222 BRISTOL PIKE, BENSALEM, PA 19020-5210
(215) 638-3338
Mailing address
2222 BRISTOL PIKE, BENSALEM, PA 19020-5210
(215) 638-3338
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC002162L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060376000
KEYSTONE/AMERIHEALTH
PA
05
—
0850383
—
PA
01
—
36657
BLUE SHIELD
PA
Enumeration date
08/24/2006
Last updated
12/31/2012
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