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Contact Information

ANGELO DE LOS ANGELES, MD
41 BREWSTER RD
BRISTOL HOSPITAL
BRISTOL, CT06010-5161
 Phone: 860-585-3474
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ANGELO DE LOS ANGELES · (Male)

NPI # 1326386475
Status Active
Credentials MD
Entity Individual
Enumeration date 01/24/2013
Last updated 06/01/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 053792
Hospital affiliation(s)
  • BRISTOL HOSPITAL - (Acute Care)
    BREWSTER RD
    BRISTOL, CT 06010
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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