Provider Demographics
NPI:1073930186
Name:SANGIOVANNI, EMILIA LAURA (DO)
Entity type:Individual
Prefix:DR
First Name:EMILIA
Middle Name:LAURA
Last Name:SANGIOVANNI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:EMILIA
Other - Middle Name:LAURA
Other - Last Name:APONTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:331 NEWMAN SPRINGS RD STE 220
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-5792
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:595 DIVISION ST
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07201-2038
Practice Address - Country:US
Practice Address - Phone:908-289-5646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-26
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB1007100207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine