Provider Demographics
NPI:1992800924
Name:HUNT, ANGELA DAWN (MD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:DAWN
Last Name:HUNT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 296
Mailing Address - Street 2:
Mailing Address - City:SOUTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01772-0296
Mailing Address - Country:US
Mailing Address - Phone:508-229-8811
Mailing Address - Fax:508-229-0666
Practice Address - Street 1:162 CORDAVILLE RD
Practice Address - Street 2:SUITE185
Practice Address - City:SOUTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01772-1838
Practice Address - Country:US
Practice Address - Phone:508-229-8811
Practice Address - Fax:508-229-0666
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA72585208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
7160843OtherCIGNA HEALTHCARE
072585OtherTUFTS HEALTH PLAN
8606OtherFALLON COMMUNITY HEALTH
966308OtherNETWORK HEALTH
MA3065219Medicaid
1019402OtherUNITED HEALTHCARE
200925OtherHARVARD PILFRIM HEALTHCAR
2210409OtherAETNA HEALTHCARE
MAJ09920OtherBLUE CROSS BLUE SHIELD
8606OtherFALLON COMMUNITY HEALTH