Individual provider · NPI-1

Dr. Marc S D'Angelo, M.D.

Psychiatry & Neurology, Neurology · Wilmington, NC

NPI number1962432716

StatusActive

Last updated in NPPESJan 6, 2017

Details

NPI: 1962432716
Entity type: Individual (NPI-1)
Name: Dr. Marc S D'Angelo
Credential: M.D.
Sex: Male
Sole proprietor: Yes
Enumeration date: Jul 4, 2006
Last updated: Jan 6, 2017

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2084N0400X	Psychiatry & Neurology, Neurology	26317	KY	Yes
2084N0400X	Psychiatry & Neurology, Neurology	14157	SC

Practice location

6632 River Rd
Wilmington, NC 28412-3012

Phone 843-319-5979 · Fax 910-791-6799

Mailing address

6632 River Rd
Wilmington, NC 28412-3012

Phone 843-319-5979 · Fax 910-791-6799

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