DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES DOUGLAS ANGEVINE, M.D.

Active Sole Proprietor

CHARLES DOUGLAS ANGEVINE, M.D. is a Rheumatology healthcare provider located in FAIRPORT, New York. NPI 1568697993 is currently active in the NPPES registry. Verify at CMS.

Rheumatology · FAIRPORT, NY

Registration Details

NPI Number
1568697993
Provider Type
Individual
Gender
Male
NPI Issued
May 29, 2009 (17.219523742388 yrs)
Last Updated
May 29, 2009
Licenses
103318-1 (NY)
16464-020 (WI)
Sole Proprietor
Yes

Practice Information

Address
106 HULBURT RD
FAIRPORT, NY, 144502464
Browse NY providers · Browse ZIP 14450
Phone
5853778009
Primary Specialty
Rheumatology
207RR0500X
Additional Specialty
Rheumatology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.