Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 148039-1 | NY |
Y | 207RC0000X | Internist - Cardiovascular Disease | 25MA05345900 | NJ |
NPI | 1003148818 |
---|---|
Provider Name | Juliette Angel |
First Address | Princeton Junction, NJ 08550-1615 |
Second Address | Princeton Junction, NJ 08550-1615 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2010 |
Last Update Date | 03/02/2010 |