Individual
MR. JUDE ANGLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R-PAC
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-7700
Mailing address
1258 WESTERVELT PL, HEWLETT, NY 11557-1208
(718) 404-5742
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
005517
NY
Other
Enumeration date
12/23/2008
Last updated
12/23/2008
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