Organization
BAYFRONT EMERGENCY PHYSICIANS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BRIAN ANGELASTRO MD (PRESIDENT)
(609) 653-3519
Entity
Organization
Contact information
Practice address
1 E NEW YORK AVE, SHORE MEMEORIAL HOSPITAL, SOMERS POINT, NJ 08244
(609) 653-3159
(610) 617-6280
Mailing address
PO BOX 3012, WILMINGTON, DE 19804-0012
(800) 456-4629
(302) 224-2848
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030066
—
NJ
01
—
2262349000
AMERIHEALTH
NJ
01
—
DB1794
RR MEDICARE
NJ
Enumeration date
03/30/2006
Last updated
08/29/2007
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