Provider Demographics
NPI:1457668519
Name:DANGELO, MAUREEN CLAIRE (PA-C)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:CLAIRE
Last Name:DANGELO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 80690
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-0690
Mailing Address - Country:US
Mailing Address - Phone:330-363-7444
Mailing Address - Fax:330-363-7770
Practice Address - Street 1:270 E STATE ST STE G110
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-4380
Practice Address - Country:US
Practice Address - Phone:308-290-9513
Practice Address - Fax:330-829-1949
Is Sole Proprietor?:No
Enumeration Date:2010-09-09
Last Update Date:2025-06-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH50.003114363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant