NPI 1497176432

Marc Deangelo, ATCLAT

Practitioner Athletic Trainer Stoneham, MA

Practice location

Address: 245 North St, Stoneham, MA 02180-2109
Phone: (781) 922-0352
Mailing address: 25 Citation Ave, Stoneham, MA 02180-1951

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2349 (MA)

Other Specialist/Technologist providers in Massachusetts →

Registry record

NPI: 1497176432
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Dec 2013
Record last updated: 18 Dec 2013

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.