Healthcare Provider Details

I. General information

NPI: 1760287908
Provider Name (Legal Business Name): ANGELA OPPEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1112 WASHINGTON ST
HANOVER MA
02339-1675
US

IV. Provider business mailing address

1112 WASHINGTON ST
HANOVER MA
02339-1675
US

V. Phone/Fax

Practice location:
  • Phone: 781-924-3648
  • Fax: 781-658-2538
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2355A2700X
TaxonomyAudiology Assistant
License NumberAUA194
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHES6590
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: