Moore, Angelo Dewitt

Moore, Angelo Dewitt is an sole proprietor health care provider with primary practice located at 1075 Stephenson Ave Patterson Army Health Clinic, Fort Monmouth NJ 07703-5000. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Nursing Service Providers / Registered Nurse is his primary health care specialty. Moore, Angelo Dewitt can be contacted via phone (732) 532-0182.

Contact Information

Primary practice address
1075 Stephenson Ave Patterson Army Health Clinic Fort Monmouth NJ 07703-5000
Phone: (732) 532-0182
Fax: (732) 532-0194
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 138235 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 648115 Texas

Profile Details

NPI number 1013099068
LBN Legal business name Moore, Angelo Dewitt
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Jul 8th, 2007 - about 17 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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