Individual
ANGELICA ELIZABETH MASULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(610) 402-8000
Mailing address
5934 69TH LN, MASPETH, NY 11378-2630
(347) 416-2064
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OT020735
PA
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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