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Contact Information

ANGELITO ANTONIO, NP-C
930 VALLEY RD
WAYNE, NJ07470
 Phone: 973-696-3868
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Adult Health

364SA2200X 89 Certified Clinical Nurse Specialist
 

Gerontology

364SG0600X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for ANGELITO ANTONIO · (Male)

NPI Number 1972743698
Status Active
Credentials NP-C (Nurse Practitioner - Certified)
Entity Individual
Enumeration date 02/21/2009
Last updated 06/20/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 26NJ00260500
  • NY License # F305268-1
  • NY License # F340760-1
Hospital affiliation(s) Not Available
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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