1437390812 NPI number — DR. ANGELA AIMEE STEINHARDT MD

Table of content: DR. ANGELA AIMEE STEINHARDT MD (NPI 1437390812)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437390812 NPI number — DR. ANGELA AIMEE STEINHARDT MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STEINHARDT
Provider First Name:
ANGELA
Provider Middle Name:
AIMEE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437390812
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
85 WEST ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WALPOLE
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02081-1844
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-951-0847
Provider Business Mailing Address Fax Number:
508-921-4613

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
85 WEST ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WALPOLE
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02081-1844
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-951-0847
Provider Business Practice Location Address Fax Number:
508-921-4613
Provider Enumeration Date:
03/16/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RA0401X , with the licence number: 242648 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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