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Organization

HUNTLEIGH HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT S ANGEL (PRES/CEO)
(800) 223-1218
Entity
Organization

Contact information

Practice address
625 DUBOIS STREET, SUITE B, SAN RAFAEL, CA 95901
(415) 721-7190
(415) 721-7193
Mailing address
40 CHRISTOPHER WAY, EATONTOWN, NJ 07724-3327
(800) 223-1218
(732) 676-1096

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
47464
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3753562
AETNA
CA
Enumeration date
12/13/2007
Last updated
12/13/2007
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