Individual
MS. ANGELIQUE WYGONOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
89 SPARTA AVE STE 220, SPARTA, NJ 07871-1793
(973) 940-8100
(973) 729-7235
Mailing address
PO BOX 416457, BOSTON, MA 02241-3120
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00811200
NJ
Other
Enumeration date
10/12/2023
Last updated
02/15/2024
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