Individual
MRS. ANGELA MATTOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
329 E 149TH ST, BRONX, NY 10451-5601
(718) 769-2698
Mailing address
32 FOX DEN RD, DANBURY, CT 06811-3424
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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