Organization
ANGELIC CARE CENTER LLC
Active
Organization
ANGELIC CARE CENTER LLC
Active
Other names
Angelic Medical of North Brunswick
Organization subpart
No
Provider details
NPI number
Authorized official
MARY B GALVIN M.D. (MEDICAL DIRECTOR)
(732) 246-8905
Entity
Organization
Contact information
Practice address
637 GEORGES RD, NORTH BRUNSWICK, NJ 08902-3331
(732) 246-8905
(718) 447-5178
Mailing address
1102 VICTORY BLVD, STATEN ISLAND, NY 10301-3622
(718) 447-5072
(718) 447-5178
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA08523700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01598654
—
NY
Enumeration date
02/01/2012
Last updated
02/01/2012
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