Provider Demographics
NPI:1619975984
Name:STUPI, ANGELA MARY (MD, PHD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARY
Last Name:STUPI
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 EMERYVILLE DR STE 220
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-5015
Mailing Address - Country:US
Mailing Address - Phone:724-935-9355
Mailing Address - Fax:724-935-9360
Practice Address - Street 1:144 EMERYVILLE DR STE 220
Practice Address - Street 2:
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-5015
Practice Address - Country:US
Practice Address - Phone:724-935-9355
Practice Address - Fax:724-935-9360
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-12
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD 021096E207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA010004347OtherRAILROAD MEDICARE
PA0007231390009Medicaid
PA010004347OtherRAILROAD MEDICARE
PA0007231390009Medicaid