Individual
MR. MARK ANGELO LLADAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
961 GARFIELD AVE, JERSEY CITY, NJ 07304-2733
(201) 915-2294
Mailing address
961 GARFIELD AVE, JERSEY CITY, NJ 07304-2733
(201) 915-2294
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00508700
NJ
363LA2200X
Adult Health Nurse Practitioner
F306793
NY
Other
Enumeration date
03/24/2014
Last updated
02/09/2015
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