Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 25MA06378600 | NJ |
NPI | 1013025733 |
---|---|
Provider Name | Mr. Angel J Mulkay |
First Address | Hackensack, NJ 07601-1215 |
Second Address | Hackensack, NJ 07601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2006 |
Last Update Date | 03/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01895436 | (05) | NJ |
G63897 | (02) | NJ |