Individual
DR. ETHAN ANGLEMYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
300 LONGWOOD AVE, BCH 3222, BOSTON, MA 02115
(617) 355-6680
(617) 730-0319
Mailing address
300 LONGWOOD AVE, BCH 3222, BOSTON, MA 02115
(617) 355-6680
(617) 730-0319
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
OS15190
FL
2084P0800X
Psychiatry Physician
Primary
274620
MA
2084P0804X
Child & Adolescent Psychiatry Physician
34.017599
OH
390200000X
Student in an Organized Health Care Education/Training Program
UO3877
FL
Other
Enumeration date
06/04/2014
Last updated
12/03/2025
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