Individual
LORENZO G. DE LOS ANGELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
59 KOCH AVE, MORRIS PLAINS, NJ 07950-4400
(973) 538-1800
Mailing address
2 QUINBY COURT, PARSIPPANY, NJ 07054
(973) 884-0744
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
25MA03034700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
565593C2E
MEDICARE BILLING NO.
NJ
Enumeration date
11/29/2006
Last updated
02/25/2009
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