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NPI Code Detail

MEDICARE: MR. ANGELO CHARLES VOZZELLA PA-C

MEDICARE: MR. ANGELO CHARLES VOZZELLA PA-C
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
1363A00000XPhysician Assistant0270NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598743189
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANGELO CHARLES VOZZELLA PA-C
Provider Business Mailing Address
First Line : 173 MIDDLE ST
Second Line :
City : LANCASTER
State : NH
Zip : 03584-3508
Country : US
Telephone Number : 603-788-5029
Fax Number : 603-788-5607
Provider Business Practice Location Address
First Line : 173 MIDDLE ST
Second Line :
City : LANCASTER
State : NH
Zip : 03584-3508
Country : US
Telephone Number : 603-788-5095
Fax Number : 603-788-5092
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2006
Last Update Date : 08/23/2022

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Directions to “ MR. ANGELO CHARLES VOZZELLA PA-C” Practice Location

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