Individual
ANGELA JIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SEYMOUR ST, MONTCLAIR, NJ 07042-3771
(973) 302-9585
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA11492400
NJ
207N00000X
Dermatology Physician
317185
NY
207ND0900X
Dermatopathology Physician
25MA11492400
NJ
207ND0900X
Dermatopathology Physician
317185
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2017
Last updated
07/03/2023
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