Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angelique Ealy, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184474140

Angelique Ealy, MD is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2024.

Licensed in
MA
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

60 Fenwood Rd
Boston, MA 02115-6128
Phone: (617) 732-6753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 3016648 (MA)

Record details

NPI number1184474140
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2024
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025

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