Organization
INTERGRATIVE OBGYN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA DE ANGELIS (MANAGER)
(908) 561-1102
Entity
Organization
Contact information
Practice address
110 REHILL AVE, SOMERVILLE, NJ 08876-2519
(908) 685-2200
(908) 561-1105
Mailing address
775 MOUNTAIN BLVD STE 107, WATCHUNG, NJ 07069-6262
(908) 561-1102
(908) 561-1105
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
0600382326
NJ
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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