Organization
ANGELA FAMILY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REX GHASSEMI MD (PRESIDENT)
(973) 777-7727
Entity
Organization
Contact information
Practice address
721 CLIFTON AVE, SUITE 2A, CLIFTON, NJ 07013-1880
(973) 777-7727
(973) 779-7906
Mailing address
721 CLIFTON AVE, SUITE 2A, CLIFTON, NJ 07013-1880
(973) 777-7727
(973) 779-7906
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA08383200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166553
—
NJ
Enumeration date
02/01/2011
Last updated
02/01/2011
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