Individual
ANGEL L BAILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
501 FELLOWSHIP RD STE 101, MOUNT LAUREL, NJ 08054-3419
(856) 642-2133
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0107
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00700100
NJ
363AM0700X
Medical Physician Assistant
MA063255
PA
Other
Enumeration date
03/28/2021
Last updated
12/23/2024
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