MEDICARE: DR. ANGELA C BESS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	0101236781	VA
2	207V00000X	Obstetrics & Gynecology Physician	25MA07079700	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063404796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELA C BESS M.D.

Provider Business Mailing Address
First Line	:	811 SUNSET RD STE B
Second Line	:
City	:	BURLINGTON
State	:	NJ
Zip	:	08016-3645
Country	:	US
Telephone Number	:	856-247-7600
Fax Number	:

Provider Business Practice Location Address
First Line	:	811 SUNSET RD STE B
Second Line	:
City	:	BURLINGTON
State	:	NJ
Zip	:	08016-3645
Country	:	US
Telephone Number	:	856-247-7600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	10/07/2024

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