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NPI Code Detail

MEDICARE: ANGELINA UDO-INYANG

MEDICARE: ANGELINA UDO-INYANG
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1235157298
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANGELINA UDO-INYANG
Provider Business Mailing Address
First Line : 19 N LANSDOWNE AVE
Second Line :
City : LANSDOWNE
State : PA
Zip : 19050-2205
Country : US
Telephone Number : 610-622-7707
Fax Number :
Provider Business Practice Location Address
First Line : 19 N LANSDOWNE AVE
Second Line :
City : LANSDOWNE
State : PA
Zip : 19050-2205
Country : US
Telephone Number : 610-622-7707
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. ANGELINA ALTHEA UDO-INYANG
Credential :
Telephone Number : 610-622-7707
Provider Enumeration Date : 07/18/2006
Last Update Date : 06/18/2008

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Directions to “ANGELINA UDO-INYANG ” Practice Location

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