Individual
DR. JOHN D ANGELONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
301 E CITY AVE, SUITE 100, BALA CYNWYD, PA 19004-1708
(610) 617-1300
(610) 617-0199
Mailing address
301 E CITY AVE, SUITE 100, BALA CYNWYD, PA 19004-1708
(610) 617-1300
(610) 617-0199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS-003500-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0701131
—
PA
Enumeration date
05/04/2006
Last updated
09/12/2014
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