Provider Demographics
NPI:1306926118
Name:ANGEL'S TOUCH HEALTHCARE
Entity type:Organization
Organization Name:ANGEL'S TOUCH HEALTHCARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MUSTAK
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CPC,CPC-H
Authorized Official - Phone:848-466-6011
Mailing Address - Street 1:2141 ALDRIN RD
Mailing Address - Street 2:APT 1B
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-2403
Mailing Address - Country:US
Mailing Address - Phone:848-466-6011
Mailing Address - Fax:
Practice Address - Street 1:1205 HWY35
Practice Address - Street 2:
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712
Practice Address - Country:US
Practice Address - Phone:732-663-0099
Practice Address - Fax:732-663-1359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty