Jaelah Deangelis in Boston - Physician Assistant
Jaelah Deangelis - NPI 1598835480
Jaelah Deangelis is a Physician Assistant in Boston, Massachusetts. Jaelah Deangelis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jaelah Deangelis is 1598835480. The last update date is 2020-11-23.
Jaelah Deangelis's current location address is Po Box 415348, Boston, Massachusetts. You can contact this provider via phone number 8002258885 and fax number 5083348105. The mailing address for Jaelah Deangelis is Po Box 415348, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaelah Deangelis |
|---|---|
| Address | Po Box 415348, Boston, Massachusetts |
| Phone Number | 8002258885 |
| Fax Number | 5083348105 |
| Sole Proprietor | N |
| Credentials | MMS PA-C |
NPI Number Detail
| NPI Number | 1598835480 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2020-11-23 |
Provider Mailing Address Detail
| Address | Po Box 415348 |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 22415348 |
| Phone Number | 8002258885 |
| Fax Number | 5083348105 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA00422 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code assigned to Jaelah Deangelis by the Centers for Medicare & Medicaid Services?
The Jaelah Deangelis has been issued the NPI (National Provider Identifier) 1598835480, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jaelah Deangelis's physical address?
The Jaelah Deangelis is physically located at Po Box 415348, in the city of Boston, MA, with the postal code 22415348.
What is Jaelah Deangelis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jaelah Deangelis is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1598835480 to Jaelah Deangelis?
The Centers for Medicare & Medicaid Services originally issued the 1598835480 to Jaelah Deangelis on 2006-11-08.
As of what date were the details related to Jaelah Deangelis most recently updated or revised?
The information pertaining to Jaelah Deangelis, including its address, specialty, and other relevant details, was last updated or revised on 2020-11-23.