Individual
ADRIAAN JOHAN VANGAALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 OSTRUM ST, STE 203, FOUNTAIN HILL, PA 18015-1155
(610) 691-3603
(610) 861-8104
Mailing address
701 OSTRUM ST, STE 203, FOUNTAIN HILL, PA 18015-1155
(610) 691-3603
(610) 861-8104
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
MD039195L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01233801
BC
PA
01
—
VA133383
BS
PA
Enumeration date
12/29/2005
Last updated
07/27/2007
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