Doctor Name: | DR. THOMAS DE ANGELIS |
NPI Number: | 1336220193 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 25MA05372700 |
Business Practice Address: | 775 Mountain Boulevard Suite 107 Watchung, NJ - 07069 |
Business Phone Number: | 9085611102 |
Business Fax Number: | 9085611105 |
Mailing Address: | 775 Mountain Boulevard, Suite 107 WATCHUNG |
State: | NJ |
Postal Code: | 07069 |
Phone Number: | 9085611102 |
Fax Number: | 9085611105 |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 11/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 305R00000X |
License Number: | 25MA05372700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Preferred Provider Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |