Organization
ANGELS MEDICAL ASSOCIATES LLC
Active
Organization
ANGELS MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
P. WILFREDO CANCHIS MD (OWNER)
(401) 383-0400
Entity
Organization
Contact information
Practice address
1524 ATWOOD AVE, SUITE 327, JOHNSTON, RI 02919-3228
(401) 383-0400
(401) 383-0410
Mailing address
1524 ATWOOD AVE, SUITE 327, JOHNSTON, RI 02919-3228
(401) 383-0400
(401) 383-0410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
RI09384
RI
207RG0100X
Gastroenterology Physician
Primary
RI09384
RI
Other
Enumeration date
12/09/2014
Last updated
12/18/2014
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