Healthcare Provider Details

I. General information

NPI: 1942335252
Provider Name (Legal Business Name): AGL FIRST ASSISTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 01/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 SOUTH ST
MORRISTOWN NJ
07960-9517
US

IV. Provider business mailing address

937 BANTA PL
RIDGEFIELD NJ
07657-1703
US

V. Phone/Fax

Practice location:
  • Phone: 973-551-1862
  • Fax: 866-395-0888
Mailing address:
  • Phone: 973-551-1862
  • Fax: 866-395-0888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number
License Number State

VIII. Authorized Official

Name: ANDREA G LANGAN
Title or Position: PRESIDENT
Credential:
Phone: 973-551-1862