Healthcare Provider Details

I. General information

NPI: 1487571568
Provider Name (Legal Business Name): ANGELA MARIE HALL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 CHEWS LANDING RD
CLEMENTON NJ
08021-3868
US

IV. Provider business mailing address

101 CHEWS LANDING RD
CLEMENTON NJ
08021-3868
US

V. Phone/Fax

Practice location:
  • Phone: 856-905-7708
  • Fax:
Mailing address:
  • Phone: 856-905-7708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: