Individual
CHERYL ANN ANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
813 E GATE DR, MOUNT LAUREL, NJ 08054-1238
(856) 642-7600
(856) 608-0501
Mailing address
813 E GATE DR, MOUNT LAUREL, NJ 08054-1238
(856) 642-7600
(856) 608-0501
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4699
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1350803
—
NJ
Enumeration date
11/08/2006
Last updated
07/08/2007
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