Provider Demographics
NPI:1437390812
Name:STEINHARDT, ANGELA AIMEE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:AIMEE
Last Name:STEINHARDT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 WEST ST
Mailing Address - Street 2:
Mailing Address - City:WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02081-1844
Mailing Address - Country:US
Mailing Address - Phone:508-951-0847
Mailing Address - Fax:508-921-4613
Practice Address - Street 1:85 WEST ST
Practice Address - Street 2:
Practice Address - City:WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02081-1844
Practice Address - Country:US
Practice Address - Phone:508-951-0847
Practice Address - Fax:508-921-4613
Is Sole Proprietor?:No
Enumeration Date:2009-03-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MA242648207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program