Individual
MICHAEL ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1130 HIGHWAY 77, BRIDGETON, NJ 08302-5988
(856) 453-2739
Mailing address
1130 HIGHWAY 77, BRIDGETON, NJ 08302-5988
(856) 453-2739
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
31TD00403800
NJ
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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