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Individual

DR. VINCENT LOUIS ANGELONI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
31988
IA
207ND0101X
MOHS-Micrographic Surgery Physician
31988
IA
207ND0900X
Dermatopathology Physician
Primary
31988
IA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
31988
IA
207NP0225X
Pediatric Dermatology Physician
31988
IA
207NS0135X
Procedural Dermatology Physician
31988
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0154724
IA
01
070011502
MEDICARE RAILROAD
IA
Enumeration date
07/05/2005
Last updated
01/03/2025
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