Provider Demographics
NPI:1477618064
Name:ANGERMEIER, MARLA CATHLEEN (MD)
Entity Type:Individual
Prefix:
First Name:MARLA
Middle Name:CATHLEEN
Last Name:ANGERMEIER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:526 MAIN ST STE 302
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-3301
Mailing Address - Country:US
Mailing Address - Phone:978-371-7010
Mailing Address - Fax:978-371-0522
Practice Address - Street 1:148 W RIVER ST
Practice Address - Street 2:SUITE 1 B
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-2615
Practice Address - Country:US
Practice Address - Phone:401-273-9310
Practice Address - Fax:401-273-1270
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2022-09-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RI6161207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI003626OtherBLUE CHIP
RI2741OtherBLUE CROSS
RI070001832OtherRAILROAD MEDICARE
RI050423719OtherUNITED HEALTH PLAN
RI900274Medicaid
RI2741OtherBLUE CROSS
RI050423719OtherUNITED HEALTH PLAN