Organization
ANGELIC HEALTH PRACTICE GROUP
Active
Other names
Angelic Primary Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DAN MIKUS (CEO)
(609) 822-7979
Entity
Organization
Contact information
Practice address
8025 BLACK HORSE PIKE STE 501, PLEASANTVILLE, NJ 08232-2967
(609) 464-1135
Mailing address
8025 BLACK HORSE PIKE STE 501, PLEASANTVILLE, NJ 08232-2967
(856) 812-8089
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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