Provider Demographics
NPI:1285696955
Name:SOTOHAMLIN, ANGELA M (MD)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:M
Last Name:SOTOHAMLIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:570-271-6578
Practice Address - Street 1:880 CENTURY DR
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-4375
Practice Address - Country:US
Practice Address - Phone:717-691-3235
Practice Address - Fax:717-691-3243
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2020-08-24
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Provider Licenses
StateLicense IDTaxonomies
PAMD033750E208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
B38481Medicare UPIN
B38481Medicare UPIN