Provider Demographics
NPI:1366837312
Name:D'ANGELO, RACHEL LORING (DO)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:LORING
Last Name:D'ANGELO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:NA
Other - Middle Name:NA
Other - Last Name:NA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NA
Mailing Address - Street 1:PO BOX 415348
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-5348
Mailing Address - Country:US
Mailing Address - Phone:800-225-8885
Mailing Address - Fax:508-334-1977
Practice Address - Street 1:288 LYMAN ST
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-2664
Practice Address - Country:US
Practice Address - Phone:508-882-5304
Practice Address - Fax:978-849-8354
Is Sole Proprietor?:No
Enumeration Date:2015-04-06
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2732112084P0800X
MA2646362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry