MEDICARE: DR. ALLAN NORMAN ENGEL M.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	207R00000X	Internal Medicine Physician	42921	MA

Other Identifiers

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

General Provider Information

NPI Number	:	1104813443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLAN NORMAN ENGEL M.D.

Provider Business Mailing Address
First Line	:	2000 WASHINGTON ST
Second Line	:	SUITE 568
City	:	NEWTON LOWER FALLS
State	:	MA
Zip	:	02462-1650
Country	:	US
Telephone Number	:	677-244-7142
Fax Number	:	617-630-0720

Provider Business Practice Location Address
First Line	:	2000 WASHINGTON ST
Second Line	:	SUITE 568
City	:	NEWTON LOWER FALLS
State	:	MA
Zip	:	02462-1650
Country	:	US
Telephone Number	:	677-244-7142
Fax Number	:	617-630-0720

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

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	09/14/2011

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