Provider Demographics
NPI:1871848671
Name:ANGULO DIAZ, VERONICA CAROLINA (MD)
Entity type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:CAROLINA
Last Name:ANGULO DIAZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 W CHESTER PIKE STE 201
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-4530
Mailing Address - Country:US
Mailing Address - Phone:610-853-2900
Mailing Address - Fax:610-853-2980
Practice Address - Street 1:301 W CHESTER PIKE STE 201
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-4530
Practice Address - Country:US
Practice Address - Phone:610-853-2900
Practice Address - Fax:610-853-2980
Is Sole Proprietor?:No
Enumeration Date:2012-07-17
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD486417207R00000X
CT053584207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine