Provider Demographics
NPI:1164480828
Name:PALUMBO, ANGELA (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:
Last Name:PALUMBO
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 OBISPO REY REDONDO
Mailing Address - Street 2:APT 4 C
Mailing Address - City:LA LAGUNA
Mailing Address - State:TENERIFE
Mailing Address - Zip Code:38201
Mailing Address - Country:ES
Mailing Address - Phone:003492-226-6481
Mailing Address - Fax:003492-263-2879
Practice Address - Street 1:14 DOCTOR ZAMENHOF
Practice Address - Street 2:BAJO
Practice Address - City:LA LAGUNA
Practice Address - State:TENERIFE
Practice Address - Zip Code:38204
Practice Address - Country:ES
Practice Address - Phone:003492-225-1418
Practice Address - Fax:003492-263-2879
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA75645174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist