Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | DS042811 | PA |
NPI | 1073121703 |
---|---|
Provider Name | Dr. Brittany Susan Ang |
First Address | Ocean City, NJ 08226-4706 |
Second Address | Philadelphia, PA 19114-1120 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2020 |
Last Update Date | 20/07/2020 |