MS. Anna Theresa D'angelo, PHYSICIAN ASSISTANT

NPI #1619020963 in Peru, New York

Provider Information

NPI Number
1619020963
Entity Type
Individual
Name
MS. Anna Theresa D'angelo, PHYSICIAN ASSISTANT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PHYSICIAN ASSISTANT
Enumeration Date
Jan 19, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
9 WOODLAND DR
City
Peru
ZIP Code
12972
Phone
(518) 643-2114

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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