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Individual

MICHAEL A ANGOTTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
109 VOLVO PKWY, #9, CHESAPEAKE, VA 23320-4609
(757) 498-0695
Mailing address
109 VOLVO PKWY, #9, CHESAPEAKE, VA 23320-4609
(757) 498-0695

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000285
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9204181
VA
Enumeration date
08/03/2006
Last updated
12/02/2007
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