Individual
DR. ANGELO MARKATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
210 JACK MARTIN BLVD., SUITE D-1, BRICK, NJ 08724
(732) 458-5854
(732) 458-8012
Mailing address
210 JACK MARTIN BLVD., SUITE D-1, BRICK, NJ 08724
(732) 458-5067
(732) 458-4962
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MB077372
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052086
—
NJ
01
—
P00191152
RAILROAD MEDICARE NUMBER
—
Enumeration date
07/19/2006
Last updated
10/17/2014
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