MEDICARE: ANGEL'S TOUCH MASSAGE OF HAMILTON

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
1	225700000X	Massage Therapist	18KB00001700	NJ

General Provider Information

NPI Number	:	1548670524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGEL'S TOUCH MASSAGE OF HAMILTON

Provider Business Mailing Address
First Line	:	3800 QUAKERBRIDGE RD
Second Line	:	SUITE 9
City	:	TRENTON
State	:	NJ
Zip	:	08619-1010
Country	:	US
Telephone Number	:	609-586-1803
Fax Number	:	609-896-3128

Provider Business Practice Location Address
First Line	:	3800 QUAKERBRIDGE RD
Second Line	:	SUITE 9
City	:	TRENTON
State	:	NJ
Zip	:	08619-1010
Country	:	US
Telephone Number	:	609-586-1803
Fax Number	:	609-896-3128

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. CARMELA P PADALINO
Credential	:
Telephone Number	:	609-651-1375

Provider Enumeration Date	:	04/30/2014
Last Update Date	:	04/30/2014

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Directions to “ANGEL'S TOUCH MASSAGE OF HAMILTON ” Practice Location

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