Individual
ANGELO C MABASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, NP-C
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 530-7917
(212) 305-8304
Mailing address
153 SUMMIT AVE, NEW MILFORD, NJ 07646-1718
(201) 281-8840
(201) 634-1615
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00133000
NJ
363LA2200X
Adult Health Nurse Practitioner
305372-1
NY
Other
Enumeration date
09/19/2007
Last updated
03/07/2023
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