Individual
DR. ANGELA DEROBERTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1703 INNOVATION DR STE 100, YORK, PA 17408-8815
(717) 801-0742
Mailing address
1703 INNOVATION DR STE 100, YORK, PA 17408-8815
(717) 801-0742
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
13785
RI
2085R0001X
Radiation Oncology Physician
223387
MA
2085R0001X
Radiation Oncology Physician
Primary
MD066735L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008002446
—
CT
05
—
2093723
—
MA
01
—
470043
TUFTS HEALTH PLAN
MA
01
—
8983518
CIGNA
RI
05
—
AK55342
—
RI
01
—
J28326
BCBS MA
MA
01
—
P01332041
RR MEDICARE
RI
01
—
P01334694
RR MEDICARE
RI
Enumeration date
11/02/2005
Last updated
02/15/2022
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