MEDICARE: DR. ALBERT D'ANGELANTONIO III DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	25MD00305300	NJ

General Provider Information

NPI Number	:	1891959391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALBERT D'ANGELANTONIO III DPM

Provider Business Mailing Address
First Line	:	5 GREENTREE CTR STE 117A
Second Line	:
City	:	MARLTON
State	:	NJ
Zip	:	08053-3422
Country	:	US
Telephone Number	:	856-702-2500
Fax Number	:

Provider Business Practice Location Address
First Line	:	308 N HADDON AVE STE 308-1
Second Line	:
City	:	HADDONFIELD
State	:	NJ
Zip	:	08033-1723
Country	:	US
Telephone Number	:	844-542-2273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2008
Last Update Date	:	12/06/2024

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