Individual
LAUREN ANGIOLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1255 BROAD ST, STE 104, BLOOMFIELD, NJ 07003-3000
(973) 707-5632
(973) 707-7349
Mailing address
1 CORPORATE DR, WAYNE, NJ 07470-3112
(973) 987-3380
(973) 987-3379
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA06413000
NJ
207WX0107X
Retina Specialist (Ophthalmology) Physician
25MA06413000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7161204
—
NJ
Enumeration date
07/19/2005
Last updated
11/28/2023
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