| Joseph Angelo, Md Llc | |
|
208 Plumtree Road Suite D Bel Air MD 21015 | |
| (410) 588-5681 | |
| (410) 588-5682 |
| Full Name | Joseph Angelo, Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 208 Plumtree Road, Bel Air, Maryland |
| Authorized Official Name and Position | Joseph Angelo (OWNER) |
| Authorized Official Contact | 4105885681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Angelo, Md Llc 208 Plumtree Road Suite D Bel Air MD 21015 Ph: (410) 588-5681 | Joseph Angelo, Md Llc 208 Plumtree Road Suite D Bel Air MD 21015 Ph: (410) 588-5681 |
| NPI Number | 1912078338 |
|---|---|
| Provider Enumeration Date | 11/10/2006 |
| Last Update Date | 05/12/2010 |
| Medicare PECOS PAC ID | 3173581642 |
|---|---|
| Medicare Enrollment ID | O20041230000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912078338 | NPI | - | NPPES |
| DC5293 | Other | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D56607 (Maryland) | Primary |
| Provider Name | Joseph Angelo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740351147 PECOS PAC ID: 2668365990 Enrollment ID: I20040202001143 |
| Provider Name | Taylor Brianna Melton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790350239 PECOS PAC ID: 6507263696 Enrollment ID: I20210915003080 |
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