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NPI Code Detail

MEDICARE: DR. DENIS G. D'ANGELO M.D.

MEDICARE: DR. DENIS G. D'ANGELO M.D.
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
12085R0202XDiagnostic Radiology Physician169077NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326025842
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DENIS G. D'ANGELO M.D.
Provider Business Mailing Address
First Line : 727 N BEERS ST
Second Line :
City : HOLMDEL
State : NJ
Zip : 07733-1514
Country : US
Telephone Number : 732-739-5900
Fax Number :
Provider Business Practice Location Address
First Line : 727 N BEERS ST
Second Line :
City : HOLMDEL
State : NJ
Zip : 07733-1514
Country : US
Telephone Number : 732-739-5900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2005
Last Update Date : 10/25/2013

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