Angelicola, Susan A

Angelicola, Susan A is an sole proprietor health care provider with primary practice located at 890 Mountain Ave , New Providence NJ 07974-1218. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Angelicola, Susan A can be contacted via phone (908) 277-8799.

Contact Information

Primary practice address
890 Mountain Ave New Providence NJ 07974-1218
Phone: (908) 277-8799
Fax: (908) 608-2376
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 26NN11336200 New Jersey

Profile Details

NPI number 1265593933
LBN Legal business name Angelicola, Susan A
Credentials MSN, RNC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Jul 5th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265593933 NPPES
New Jersey MEDICAID 0052027

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