Individual provider · Type 1 NPI

Dominique Rae Deangelis, PA-C

Medical Physician Assistant · Greenwich, CT

NPI number 1245006147 Active

Practice location

5 Perryridge Rd
Greenwich, CT 06830-4697

Call (203) 863-3000 Map

Mailing address

3 Anasville Rd
Somers, NY 10589-2415

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X031018 (NY)
Medical Physician Assistant Primary 363AM0700X6374 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1245006147

Dominique Rae Deangelis, PA-C's National Provider Identifier is 1245006147, issued on Nov 30, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Greenwich, CT. The record was last updated on Nov 30, 2023.