Active NPIIndividual provider

Mario G Angulo, DO

Family Medicine in Freehold, New Jersey

NPI Number1942791827
Practice location
901 W Main St Ste 305B, Freehold, NJ 07728-2537
Fax
732-577-6332
Last updated
October 13, 2022

Mario G Angulo is a Family Medicine based in Freehold, NJ. Mario G Angulo practices in Freehold, NJ and has the professional credentials of DO. The NPI Number for Mario G Angulo is 1942791827 and holds a License No. 25MB10963600 (NJ). The current practice location address for Mario G Angulo is 901 W Main St Ste 305B, Freehold, NJ 07728-2537 and can be reached out via phone at 732-577-0600 and via fax at 732-577-6332.

Provider Profile Details

NPI Number
1942791827
Provider Name
Mario G Angulo
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
901 W Main St Ste 305B, Freehold, NJ 07728-2537
Phone Number
732-577-0600
Fax Number
732-577-6332
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
May 25, 2018
Last Update Date
October 13, 2022
Certification Date
October 13, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
901 W Main St Ste 305B
Freehold, NJ 07728-2537
Zip
07728-2537
Phone Number
732-577-0600
Fax Number
732-577-6332
Freehold, NJ 07728Get directions →

Provider Business Mailing Address Details

Address
Po Box 416457
Boston, MA 02241-6457
City
Boston
State
MA
Zip
02241-6457
Phone Number
844-362-1735

License Information

License Number
25MB10963600
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mario G Angulo, DO?

The NPI number of Mario G Angulo, DO is 1942791827. It was assigned on May 25, 2018 and is currently active in the NPPES registry.

What is the specialty of Mario G Angulo, DO?

Mario G Angulo, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MB10963600.

Where does Mario G Angulo, DO practice?

The practice location is 901 W Main St Ste 305B, Freehold, NJ 07728-2537. The office can be reached at 732-577-0600 (phone) or 732-577-6332 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942791827 directly on the NPPES registry website.

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