Healthcare Provider Details

I. General information

NPI: 1588752000
Provider Name (Legal Business Name): MARGARET ANN ANGELASTRO MSN, APRN,BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 01/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 SINGLEY AVE
RUNNEMEDE NJ
08078-1543
US

IV. Provider business mailing address

408 SINGLEY AVE
RUNNEMEDE NJ
08078-1543
US

V. Phone/Fax

Practice location:
  • Phone: 856-931-6046
  • Fax: 856-931-6046
Mailing address:
  • Phone: 856-931-6046
  • Fax: 856-931-6046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NN08470000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: