Individual
MRS. IMMACOLATA ANGELICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
11 BOLTON RD, HAMILTON, NJ 08610-1003
(609) 581-0350
Mailing address
11 BOLTON RD, HAMILTON, NJ 08610-1003
(609) 581-0350
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00406700
NJ
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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