Individual
MRS. ANGELA IMMEDIATO FOREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
179 WEST CHESTNUT HILL ROAD, SUITE 6, NEWARK, DE 19713-2294
(302) 731-0858
(302) 731-0027
Mailing address
129 WEST HILLSIDE DRIVE, OXFORD, PA 19363
(610) 996-9323
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C50000426
DE
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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