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NPI Code Detail

MEDICARE: ANGELINE PANGAN

MEDICARE:   ANGELINE  PANGAN
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
1163W00000XRegistered NurseRN750608PA

General Provider Information

NPI Number : 1275243164
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELINE PANGAN
Provider Business Mailing Address
First Line : 2108 BORBECK AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-3725
Country : US
Telephone Number : 267-399-3709
Fax Number :
Provider Business Practice Location Address
First Line : 2108 BORBECK AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-3725
Country : US
Telephone Number : 267-939-3709
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2022
Last Update Date : 12/01/2022

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Directions to “ ANGELINE PANGAN ” Practice Location

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