| NPI Details | |
|---|---|
| NPI | 1194920306 |
| Gender | Female |
| Enumeration Date | 06/18/2007 |
| Last Updated | 07/09/2007 |
| Entity Type | Individual |
| Active | Over 10 years ago |
| Practice Location | |
|---|---|
| 655 E JERSEY ST DEPT. OF BEHAVIORAL & PSYCHIARTY ELIZABETH NJ, 07206-1259, US |
|
| Phone | (908) 994-5000 |
| Fax | (908) 994-5000 |
| Business Location | |
|---|---|
| 655 E JERSEY ST DEPT. OF BEHAVIORAL & PSYCHIARTY ELIZABETH NJ, 07206-1259, US |
|
| Phone | (908) 994-5000 |
| Fax | (908) 994-5000 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 104100000X |
| License State | New Jersey |
| License Number | 44SL05258500 |
| Remove 1194920306 NPI Number | |
According to our database, Angel Beatty NPI is 1194920306, taxonomy code is 104100000X and license number is 44SL05258500, license state is located at New Jersey. Angel Beatty physically located at 655 E Jersey St, Elizabeth NJ, 07206-1259. NPI Number Angel Beatty has the Individual type.
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1194920306 NPI number is provided on an as is basis without warranty of any kind. 1194920306 is maintained by the National Plan & Provider Enumeration System. The contents of Angel Beatty are for informational purposes only.
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