Individual
KELLY D'ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 856-1168
(508) 856-4224
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
RN2266901
MA
363L00000X
Nurse Practitioner
Primary
RN2266901
MA
Other
Enumeration date
01/13/2021
Last updated
03/30/2021
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