Individual
MR. ROBERT N DEANGELIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8346 TRAFORD LN, ROOM 101, SPRINGFIELD, VA 22152-1600
(703) 451-8777
(703) 451-6936
Mailing address
8346 TRAFORD LN, ROOM 101, SPRINGFIELD, VA 22152-1600
(703) 451-8777
(703) 451-6936
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101019234
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300045
UHC
—
01
—
1581
ANTHEM
—
01
—
6356
TRICARE
—
01
—
B572
BCBS
—
Enumeration date
08/16/2005
Last updated
07/08/2007
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