Angelo, Cheryl Ann

Angelo, Cheryl Ann is an sole proprietor health care provider with primary practice located at 813 E Gate Dr , Mount Laurel NJ 08054-1238. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Angelo, Cheryl Ann can be contacted via phone (856) 642-7600.

Contact Information

Primary practice address
813 E Gate Dr Mount Laurel NJ 08054-1238
Fax: (856) 608-0501
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4699 New Jersey

Profile Details

NPI number 1588734677
LBN Legal business name Angelo, Cheryl Ann
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
Last updated Jul 8th, 2007 - about 19 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 1588734677 NPPES
New Jersey MEDICAID 1350803

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