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Contact Information

ANGEL L BAILLIE, PHYSICIAN ASSISTANT
501 FELLOWSHIP RD STE 101
MOUNT LAUREL, NJ08054-3419
 Phone: 856-642-2133
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ANGEL L BAILLIE · (Female)

NPI # 1669059242
Status Active
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 03/28/2021
Last updated 12/23/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MP00700100
  • PA License # MA063255
Hospital affiliation(s)
  • CHRISTIANA CARE HEALTH SERVICES INC. - (Acute Care)
    4755 OGLETOWN-STANTON ROAD
    NEWARK, DE 19718
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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