Individual
DR. MARC S D'ANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6632 RIVER RD, WILMINGTON, NC 28412-3012
(843) 319-5979
(910) 791-6799
Mailing address
6632 RIVER RD, WILMINGTON, NC 28412-3012
(843) 319-5979
(910) 791-6799
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
14157
SC
2084N0400X
Neurology Physician
Primary
26317
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112511
—
MS
05
—
7100352770
—
KY
Enumeration date
07/04/2006
Last updated
01/06/2017
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