Search › Massachusetts › 363LW0102X
Angela Balcom
NPI 1831927466 · on the registry since 2024
Practice
- Address
- 310 Broadway
Revere, MA 02151 - Phone
- (781) 289-2266
Additional practice sites
- 710 Quinnipiac Ave, New Haven, CT
Registry record
- Primary taxonomy
- 363LW0102X
363LW0102X
- Also registered as
- 163WW0101X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts