Individual provider · NPI-1

Dr. Marietta Angelotti, MD

Family Medicine · Albany, NY

NPI number1881648004
StatusActive
Last updated in NPPESJan 8, 2016

Details

NPI
1881648004
Entity type
Individual (NPI-1)
Name
Dr. Marietta Angelotti
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
May 20, 2006
Last updated
Jan 8, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine237285NYYes
207Q00000X Family MedicineME89252FL

Practice location

920 Lark Dr
Albany, NY 12207-1300

Phone 518-465-4771

Mailing address

920 Lark Dr
Albany, NY 12207-1300

Phone 518-465-4771

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