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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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