Provider Demographics
NPI:1245216266
Name:HUTZENBUHLER, ANGELA NOEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:NOEL
Last Name:HUTZENBUHLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3200 BLUE RIDGE ROAD
Mailing Address - Street 2:SUITE 226
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612
Mailing Address - Country:US
Mailing Address - Phone:919-787-7226
Mailing Address - Fax:919-787-4226
Practice Address - Street 1:3200 BLUE RIDGE RD
Practice Address - Street 2:SUITE 226
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-8086
Practice Address - Country:US
Practice Address - Phone:919-787-7226
Practice Address - Fax:919-787-4226
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2010-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC34994207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC100014397OtherRAILROAD MEDICARE
NC4506857OtherAETNA
NC8945110Medicaid
NC95314OtherMEDCOST
NC2295727OtherCIGNA
NC33681OtherPARTNERS
NC2953907OtherUNITED
NC45110OtherBCBS
NC289327OtherMAMSI
NC2198222AMedicare ID - Type Unspecified
NC95314OtherMEDCOST