Provider Demographics
NPI:1982687075
Name:ANGIULLI, DANIEL JOSEPH (PA)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:JOSEPH
Last Name:ANGIULLI
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:510 N ELAM AVE
Mailing Address - Street 2:STE.302
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-1150
Mailing Address - Country:US
Mailing Address - Phone:336-297-2271
Mailing Address - Fax:336-297-2282
Practice Address - Street 1:510 N ELAM AVE
Practice Address - Street 2:STE.302
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-1150
Practice Address - Country:US
Practice Address - Phone:336-297-2271
Practice Address - Fax:336-297-2282
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-22
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC101661363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical