MEDICARE: AGL FIRST ASSISTING, LLC

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	163WR0006X	Registered Nurse First Assistant

General Provider Information

NPI Number	:	1942335252
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGL FIRST ASSISTING, LLC

Provider Business Mailing Address
First Line	:	937 BANTA PL
Second Line	:
City	:	RIDGEFIELD
State	:	NJ
Zip	:	07657-1703
Country	:	US
Telephone Number	:	973-551-1862
Fax Number	:	866-395-0888

Provider Business Practice Location Address
First Line	:	11 SOUTH ST
Second Line	:
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-9517
Country	:	US
Telephone Number	:	973-551-1862
Fax Number	:	866-395-0888

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANDREA G LANGAN
Credential	:
Telephone Number	:	973-551-1862

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	01/25/2013

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