Individual
DR. PETER ANTHONY D'ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1638 W PASSYUNK AVE, LOWER LEVEL, PHILADELPHIA, PA 19145
(215) 551-7350
(215) 551-7430
Mailing address
1638 W PASSYUNK AVE, LOWER LEVEL, PHILADELPHIA, PA 19145
(215) 551-7350
(215) 551-7430
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC003929L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1271797
—
PA
01
—
2169307000
BLUES
PA
Enumeration date
11/14/2006
Last updated
03/30/2011
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