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Provider Information for 1467509539

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. EUGENE J D'ANGELO PHD

Gender: MALE

Individual NPI: 1467509539

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1467509539
Enumeration Date 2007-01-04
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 4 WOODHOLM CIR
MANCHESTER, MA 01944-1038
United States

Phone: 978-526-7223 | Fax:
View Map External Link
Primary Practice Address 300 LONGWOOD AVE
BOSTON, MA 02115-5724
United States

Phone: 617-355-7650 | Fax: 617-730-0319
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
No 103TC0700X - Psychologist Clinical MA 2839
No 103TC2200X - Psychologist Clinical Child & Adolescent MA 2839