Basic Information
| Provider Information | |||||||||
| NPI: | 1255437984 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ANGELAKIS | ||||||||
| FirstName: | ELIZABETH | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 703 RIVERWAY PL | ||||||||
| Address2: | |||||||||
| City: | BEDFORD | ||||||||
| State: | NH | ||||||||
| PostalCode: | 031106768 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6036271661 | ||||||||
| FaxNumber: | 6036696944 | ||||||||
| Practice Location | |||||||||
| Address1: | 703 RIVERWAY PL | ||||||||
| Address2: | |||||||||
| City: | BEDFORD | ||||||||
| State: | NH | ||||||||
| PostalCode: | 031106768 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6036271661 | ||||||||
| FaxNumber: | 6036696944 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/16/2006 | ||||||||
| LastUpdateDate: | 08/13/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | 158634 | MA | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085R0202X | 16206 | NH | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
ID Information
| ID | Type | State | Issuer | Description | P01222166 | 01 | NH | RAILROAD MEDICARE | OTHER | 3070806 | 05 | NH | MEDICAID | 3192253 | 05 | MA | MEDICAID |