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MARK ANGELO MD

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1144319682

Individual Registrant:
 MARK  ANGELO MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
900 CENTENNIAL BLVD BULDG 2, SUITE 201 VOORHEES, NJ 08043-4637 US
Tel: 856-325-6770  Fax: 856-673-4300

Contact information for business:
1 FEDERAL ST # 100  CAMDEN, NJ 08103-1088 US
Tel: 856-356-4924  Fax: 856-356-4793

Registration Information:
NPI: 1144319682
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
NJMA76041

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
0009415NJ05
PA BS/ HIGHMARK1537742NJ01
AETNA3307356NJ01
HORIZON NJ HEALTH60002302NJ01
UNIVERSITY HEALTH PLAN42473NJ01
AMERIHEALTH/KEYSTONE/IBC2222562000NJ01
OXFORDP3130144NJ01
CIGNA5619054NJ01
AMERICHOICE010005552NJ01
AMERIHEALTH PPO/PABS1537742NJ01




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