Provider Demographics
NPI:1588752000
Name:ANGELASTRO, MARGARET ANN (MSN, APRN,BC)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ANN
Last Name:ANGELASTRO
Suffix:
Gender:F
Credentials:MSN, APRN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 SINGLEY AVE
Mailing Address - Street 2:
Mailing Address - City:RUNNEMEDE
Mailing Address - State:NJ
Mailing Address - Zip Code:08078-1543
Mailing Address - Country:US
Mailing Address - Phone:856-931-6046
Mailing Address - Fax:856-931-6046
Practice Address - Street 1:408 SINGLEY AVE
Practice Address - Street 2:
Practice Address - City:RUNNEMEDE
Practice Address - State:NJ
Practice Address - Zip Code:08078-1543
Practice Address - Country:US
Practice Address - Phone:856-931-6046
Practice Address - Fax:856-931-6046
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN08470000363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ123930XVAMedicare UPIN