Colangelo, Brian Paul

Colangelo, Brian Paul is an individual health care provider with primary practice located at 401 Young Ave Ste 260B , Moorestown NJ 08057-3130. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Colangelo, Brian Paul can be contacted via phone (856) 355-7118.

Contact Information

Primary practice address
401 Young Ave Ste 260B Moorestown NJ 08057-3130
Fax: (856) 355-7116
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37CA00097500 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05390100 New Jersey

Profile Details

NPI number 1114169794
LBN Legal business name Colangelo, Brian Paul
Credentials LCSW, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2009
Last updated Feb 11th, 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 1114169794 NPPES
New Jersey Other 1861969218 BRAVO
New Jersey Other 3739827000 BRAVO
New Jersey Other 91003022600 BRAVO

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