Individual
CHARLES DEANGELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1199 RESERVOIR AVE, CRANSTON, RI 02920-6008
(401) 942-4700
(401) 942-5637
Mailing address
1199 RESERVOIR AVE, CRANSTON, RI 02920-6008
(401) 942-4700
(401) 942-5637
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD5540
RI
Other
Enumeration date
07/15/2006
Last updated
03/29/2021
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