Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 220263 | MA |
NPI | 1063429611 |
---|---|
Provider Name | Angela M Martagon Villamil |
First Address | Springfield, MA 01119-1001 |
Second Address | Greenfield, MA 01301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2006 |
Last Update Date | 07/08/2019 |