MEDICARE: NORMAN F ANGELL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	153001	NY

General Provider Information

NPI Number	:	1043201957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORMAN F ANGELL MD

Provider Business Mailing Address
First Line	:	713 TROY SCHENECTADY RD
Second Line	:
City	:	LATHAM
State	:	NY
Zip	:	12110-2490
Country	:	US
Telephone Number	:	518-262-5013
Fax Number	:	518-262-5292

Provider Business Practice Location Address
First Line	:	713 TROY SCHENECTADY RD
Second Line	:
City	:	LATHAM
State	:	NY
Zip	:	12110-2490
Country	:	US
Telephone Number	:	518-262-5013
Fax Number	:	518-262-5292

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	07/08/2007

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