Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 041723 | CT |
N | 111NI0900X | Internist | 041723 | CT |
N | 207RP1001X | Pulmonary Disease | 041723 | CT |
NPI | 1023087996 |
---|---|
Provider Name | Angelapia Degirolamo |
First Address | Bridgeport, CT 06610-0246 |
Second Address | Bridgeport, CT 06610-2811 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I21470 | (02) | CT |