Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 1829 | MA |
Y | 222Z00000X | Podiatrist | 1829 | MA |
N | 213EP1101X | Primary Podiatric Medicine | 1829 | MA |
NPI | 1326068396 |
---|---|
Provider Name | Paula F. Angelini |
First Address | Lincoln, MA 01773-3402 |
Second Address | Lincoln, MA 01773 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 19/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0362468 | (05) | MA |
U23571 | (02) | MA |