Provider Demographics
NPI:1245216266
Name:HUTZENBUHLER, ANGELA NOEL (MD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:NOEL
Last Name:HUTZENBUHLER
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 1:40 DUKE MEDICINE CIR # 3913
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-4000
Mailing Address - Country:US
Mailing Address - Phone:919-684-1817
Mailing Address - Fax:919-479-2664
Practice Address - Street 1:40 DUKE MEDICINE CIR # 3913
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-4000
Practice Address - Country:US
Practice Address - Phone:919-684-1817
Practice Address - Fax:919-479-2664
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC34994207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2295727OtherCIGNA
NC45110OtherBCBS
NC289327OtherMAMSI
NC2953907OtherUNITED
NC33681OtherPARTNERS
NC4506857OtherAETNA
NC95314OtherMEDCOST
NC100014397OtherRAILROAD MEDICARE
NC8945110Medicaid
NC2198222AMedicare ID - Type Unspecified
NC95314OtherMEDCOST