MEDICARE: JAMIE H. ANGUS AU.D.

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	231H00000X	Audiologist	AUD000030	DC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00856513	OTHER	DC	MEDICARE RAILROAD

General Provider Information

NPI Number	:	1548316557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE H. ANGUS AU.D.

Provider Business Mailing Address
First Line	:	PO BOX 418283
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02241-8283
Country	:	US
Telephone Number	:	703-558-1544
Fax Number	:

Provider Business Practice Location Address
First Line	:	2115 WISCONSIN AVE NW
Second Line	:	SUITE 202
City	:	WASHINGTON
State	:	DC
Zip	:	20007-2265
Country	:	US
Telephone Number	:	202-944-5300
Fax Number	:	877-754-5490

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

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	02/24/2012

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