Individual
ANGEL C SULSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
423 AMBOY AVE, WOODBRIDGE, NJ 07095
(732) 634-6188
(732) 634-7991
Mailing address
423 AMBOY AVE, WOODBRIDGE, NJ 07095
(732) 634-6188
(908) 769-0945
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
023119
NJ
207RN0300X
Nephrology Physician
023119
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2780101
—
NJ
Enumeration date
11/22/2006
Last updated
11/19/2008
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