NPI 1003556242

Julian Alexander Angeles

Practitioner Prosthetist Marietta, GA

Practice location

Address: 61 Whitcher St NE STE 2120, Marietta, GA 30060-1180
Phone: (770) 423-0595
Fax: (678) 391-5055

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 206 (GA)

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Registry record

NPI: 1003556242
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2022
Record last updated: 29 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.