National Provider Identifier
Charles Douglas Angevine, M.D.
Charles Douglas Angevine, M.D. is listed in the NPPES registry with a primary specialty of Rheumatology Physician in Fairport, NY and a listed phone number of (585) 377-8009.
Profile Overview
- NPI
- 1568697993
- Provider Type
- Individual
- Primary Specialty
- Rheumatology Physician
- Enumeration Date
- May 29, 2009
- Last Updated
- May 29, 2009
Practice Location
- 106 Hulburt RD
- Fairport, NY 14450-2464
Phone: (585) 377-8009
Specialties
- Rheumatology Physician (207RR0500X)
- Rheumatology Physician (207RR0500X)
Full Record
- NPI
- 1568697993
- Entity Type
- Individual
- Last Name
- Angevine
- First Name
- Charles
- Middle Name
- Douglas
- Credential
- M.D.
- Mailing Street Address
- 106 Hulburt RD
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-2464
- Mailing Country
- US
- Mailing Phone
- (585) 377-8009
- Practice Street Address
- 106 Hulburt RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-2464
- Practice Country
- US
- Practice Phone
- (585) 377-8009
- Enumeration Date
- May 29, 2009
- Last Updated
- May 29, 2009
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Rheumatology Physician (207RR0500X), Rheumatology Physician (207RR0500X)