Angioletti, Lee M

Angioletti, Lee M is an individual health care provider with primary practice located at 1255 Broad St Ste 104 , Bloomfield NJ 07003-3061. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Angioletti, Lee M can be contacted via phone (973) 707-5632.

Contact Information

Primary practice address
1255 Broad St Ste 104 Bloomfield NJ 07003-3061
Phone: (973) 707-5632
Fax: (973) 707-7349
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 183273-1 New York
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 25MA06097700 New Jersey
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25MA06097700 New Jersey

Profile Details

NPI number 1881693059
LBN Legal business name Angioletti, Lee M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Mar 23rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881693059 NPPES
New York MEDICAID 01471109
New York Other P377500
New York Other 497587
New York MEDICAID 6234003
New York Other 497580
New York Other OC5519

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