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Individual

DR. ROGER MICHAEL ANGELELLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
500 LEWIS RUN RD, SUITE 117, PITTSBURGH, PA 15122-3056
(412) 466-5550
(412) 466-8741
Mailing address
500 LEWIS RUN RD, SUITE 117, PITTSBURGH, PA 15122-3056
(412) 466-5550
(412) 466-8741

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AT000196L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007049086 0002
PA
01
282113
IND. PROVIDER BLUE C/S
PA
01
C19732
PALMETTO(GBA) RAILROAD M
PA
Enumeration date
01/30/2006
Last updated
09/29/2011
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