Organization
MARLA C ANGERMEIER, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA ANGERMEIER MD (PRESIDENT)
(401) 273-9310
Entity
Organization
Contact information
Practice address
148 W RIVER ST, SUITE 1 B, PROVIDENCE, RI 02904-2615
(401) 273-9310
(401) 273-1270
Mailing address
148 W RIVER ST, SUITE 1 B, PROVIDENCE, RI 02904-2615
(401) 273-9310
(401) 273-1270
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
6161
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003626
BLUE CHIP
RI
01
—
050423719
UNITED HEALTH PLAN
—
01
—
070001832
RAILROAD MEDICARE
—
01
—
079000274
MEDICARE ID TYPE UNSPECIFIED
RI
01
—
2741
BLUE CROSS
RI
05
—
900274
—
RI
Enumeration date
05/31/2008
Last updated
05/31/2008
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