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NPI Code Detail

MEDICARE: DR. CONSTANCE E ANGE D.O.

MEDICARE:  DR. CONSTANCE E ANGE  D.O.
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
12084P0800XPsychiatry Physician002359OH

General Provider Information

NPI Number : 1457477978
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CONSTANCE E ANGE D.O.
Provider Business Mailing Address
First Line : 1255 LYONS RD # G
Second Line :
City : CENTERVILLE FINANCE
State : OH
Zip : 45458-1818
Country : US
Telephone Number : 937-438-0068
Fax Number :
Provider Business Practice Location Address
First Line : 1255 LYONS RD # G
Second Line :
City : CENTERVILLE FINANCE
State : OH
Zip : 45458-1818
Country : US
Telephone Number : 937-438-0068
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 02/22/2026

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Directions to “ DR. CONSTANCE E ANGE D.O.” Practice Location

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