Individual
ANGELA RENEE DELONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 HEIGHWOOD TRL, SPARTA, NJ 07871-1401
(973) 462-9700
Mailing address
19 HEIGHWOOD TRL, SPARTA, NJ 07871-1401
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
090052
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090052
ABCP
CA
Enumeration date
03/08/2022
Last updated
03/08/2022
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