Charles Douglas Angevine M.D.

NPI 1568697993 - Internal Medicine - 207RR0500X

NPI Details
NPI 1568697993
Gender Male
Enumeration Date 05/29/2009
Last Updated 05/29/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
106 HULBURT RD
FAIRPORT NY, 14450-2464, US
Phone (585) 377-8009
Fax
Business Location
106 HULBURT RD
FAIRPORT NY, 14450-2464, US
Phone (585) 377-8009
Fax
Toxanomy
Taxonomy Code 207RR0500X
License State Wisconsin
License Number 16464-020
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According to our database, Charles Douglas Angevine M.D. NPI is 1568697993, taxonomy code is 207RR0500X and license number is 16464-020, license state is located at Wisconsin. Charles Douglas Angevine M.D. physically located at 106 Hulburt Rd, Fairport NY, 14450-2464. NPI Number Charles Douglas Angevine M.D. has the Individual type.

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1568697993 NPI number is provided on an as is basis without warranty of any kind. 1568697993 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Douglas Angevine M.D. are for informational purposes only.