Angelic Health Practice Group

NPI #1316637838 in Pleasantville, New Jersey

Provider Information

NPI Number: 1316637838
Entity Type: Organization
Organization Name: Angelic Health Practice Group
Subpart: Yes (part of a larger organization)
Parent Organization: ANGELIC HEALTH PRACTICE GROUP
Primary Specialty: Family Medicine
Enumeration Date: May 9, 2023
Last Updated: May 9, 2023

Practice Location

Address: 8025 BLACK HORSE PIKE STE 501
City: Pleasantville
State: New Jersey
ZIP Code: 08232-2967
Phone: (609) 464-1135

Authorized Official

Name: DAN MIKUS
Title: CEO
Phone: (609) 822-7979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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