Individual
ANGELA BEAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 S MAIN RD, VINELAND, NJ 08360-7897
(856) 692-0502
(856) 691-1710
Mailing address
301 S MAIN RD, VINELAND, NJ 08360-7897
(856) 692-0502
(856) 691-1710
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00529200
NJ
363AM0700X
Medical Physician Assistant
PA3146
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970022448
MEDICARE RR
FL
Enumeration date
09/19/2005
Last updated
09/08/2022
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