Individual
JOHN ANGELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
370 BASSETT RD, NORTH HAVEN, CT 06473-4201
(203) 582-7766
Mailing address
370 BASSETT RD, NORTH HAVEN, CT 06473-4201
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
32713
CT
146N00000X
Basic Emergency Medical Technician
E032700
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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