Individual
RICHARD LAWRENCE ANGELILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MAIN ST STE 505, EATONTOWN, NJ 07724-3903
(267) 471-0516
Mailing address
1 MAIN ST STE 505, EATONTOWN, NJ 07724-3903
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00835300
NJ
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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