Doctor Name: | CARMEN ANGLES |
NPI Number: | 1437148699 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 25MA06293700 |
Business Practice Address: | 60 Township Line Rd Elkins Park, PA - 190272220 |
Business Phone Number: | 2156636596 |
Business Fax Number: | 2156636265 |
Mailing Address: | 101 E Olney Ave, Suite 400 PHILADELPHIA |
State: | PA |
Postal Code: | 191202421 |
Phone Number: | 2154567000 |
Fax Number: | 2152542599 |
NPI Enumeration Date: | 10/19/2005 |
NPI Last Update Date: | 12/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 25MA06293700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |