Individual
DR. ANGELO NICHOLAS INCORVAIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10301 HAGEN RANCH RD STE A750, BOYNTON BEACH, FL 33437-3725
(561) 374-7372
(561) 374-8646
Mailing address
10301 HAGEN RANCH RD, SUITE A750, BOYNTON BEACH, FL 33437
(561) 374-7372
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
60-242078
NY
2086S0105X
Surgery of the Hand (Surgery) Physician
25MA08224900
NJ
2086S0105X
Surgery of the Hand (Surgery) Physician
60-242078
NY
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
ME 98153
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01367
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/31/2006
Last updated
07/05/2018
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