Individual
DEA F ANGIOLILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
230 WORCESTER ST, INTERNAL MEDICINE, WELLESLEY, MA 02481-5420
(781) 431-5205
(781) 431-5465
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8374
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49872
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049872
TUFTS
MA
05
—
3180352
—
MA
01
—
C25168
BLUE CROSS
MA
01
—
PM187
HARVARD PILGRIM
MA
Enumeration date
01/26/2006
Last updated
06/27/2011
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