Individual ProviderRussell Hall AngleRadiologyAllopathic & Osteopathic PhysiciansPractice Address600 N Wolfe St, Baltimore, MD 21287-0005(410) 955-6369(410) 933-6423PECOS EnrollmentBased on the most recent information from CMS, provider Russell Hall Angle does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1356578702Provider TypeIndividualFull NameAngle, Russell HallCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/12/2009Last Updated12/17/2019Contact InformationPractice LocationPractice Address600 N Wolfe St, Baltimore, MD 21287-0005Phone(410) 955-6369Fax(410) 502-3714Mailing LocationMailing Address9910 Franklin Square Dr Ste 2110, Baltimore, MD 21236-4902Phone(410) 933-6423FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseD88149MarylandCode2085R0202XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense14701FloridaCode2085R0202XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseMD047729District of Columbia