Organization Name: | EDGARDO C. ANGELES, MD & ASSOCIATES, PC |
NPI Number: | 1144332115 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDGARDO CASTRO ANGELES (CLINICAL PSYCHIATRIST) |
Mailing Address: | 511 W Grove St Unit 105 Middleboro |
State: | MA US |
Postal Code: | 023461458 |
Phone Number: | 5089233427 |
Fax Number: | 5089233428 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 5288 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |