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Organization
ANGELIC HEALTH PRACTICE GROUP
Active
Organization
ANGELIC HEALTH PRACTICE GROUP
Active
Other names
Angelic Primary Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DAN MIKUS (CEO)
(609) 822-7979
Entity
Organization
Contact information
Practice address
8025 BLACK HORSE PIKE STE 501, PLEASANTVILLE, NJ 08232-2967
(609) 464-1135
Mailing address
8025 BLACK HORSE PIKE STE 501, PLEASANTVILLE, NJ 08232-2967
(856) 812-8089
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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