Individual
DR. MICHAEL J ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 NORTHERN BLVD, SUITE 300, GREAT NECK, NY 11021-5200
(516) 627-8717
(516) 570-4037
Mailing address
600 NORTHERN BLVD, SUITE 300, GREAT NECK, NY 11021-5200
(516) 627-8717
(516) 570-4037
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
245467
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
245467
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
A103640
CA
Other
Enumeration date
07/17/2008
Last updated
01/25/2011
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