Provider Demographics
NPI:1821073776
Name:MELCHIORRE, ANGIOLINA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGIOLINA
Middle Name:
Last Name:MELCHIORRE
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 1:14028 WAGON WAY
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-2064
Mailing Address - Country:US
Mailing Address - Phone:301-603-9040
Mailing Address - Fax:
Practice Address - Street 1:801 PENNSYLVANIA AVE SE
Practice Address - Street 2:SUITE 201
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-2167
Practice Address - Country:US
Practice Address - Phone:202-608-4293
Practice Address - Fax:202-608-4284
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD144212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC21997OtherCHARTERED HEALTH
DC281692OtherAMERIGROUP
DC5115OtherHEALTHRIGHT
DC21997OtherCHARTERED HEALTH
DCG71376Medicare UPIN