Provider Demographics
NPI:1366499345
Name:ANGOTTI, DONNA MARIE (MD)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:MARIE
Last Name:ANGOTTI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 829641
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-0001
Mailing Address - Country:US
Mailing Address - Phone:267-370-5296
Mailing Address - Fax:215-230-3725
Practice Address - Street 1:599 W STATE ST STE 302
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2567
Practice Address - Country:US
Practice Address - Phone:215-918-5960
Practice Address - Fax:215-918-5969
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2023-03-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD045226E208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2803197000OtherIBC
PA0224412000OtherIBC
PAF39668Medicare UPIN
PA111612Medicare PIN