Individual
DR. NO GIVEN NAME ANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 RIVER DR APT 1203, JERSEY CITY, NJ 07310-2070
(312) 838-5483
Mailing address
110 RIVER DR APT 1203, JERSEY CITY, NJ 07310-2070
(312) 838-5483
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
-
PR
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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