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General NPI Number Information
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NPI Number | 1801952684
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Entity Type | Individual
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Provider Name | ANGELITO O ARAGO MD
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Gender | Male
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6040 BLVD EAST L7
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City | WEST NEW YORK
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State | NJ
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Zip | 07093
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Country | US
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Telephone | 201-861-0720
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Fax | 201-861-5560
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Provider Business Mailing Address
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Address Line | 6040 BLVD EAST SUITE L7
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City | WEST NEW YORK
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State | NJ
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Zip | 07093
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Country | US
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Telephone | 201-861-0720
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Fax | 201-861-5560
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MA02404200
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License Number State | NJ
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