Park, Angela M

Park, Angela M is an individual health care provider with primary practice located at 1001 Newman Rd , New Bern NC 28562-5253. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as her primary health care specialty. Park, Angela M can be contacted via phone (252) 635-6777.

Contact Information

Primary practice address
1001 Newman Rd New Bern NC 28562-5253
Phone: (252) 635-6777
Fax: (252) 634-3183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 200600085 North Carolina

Profile Details

NPI number 1720042013
LBN Legal business name Park, Angela M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Mar 17th, 2017 - about 7 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 1720042013 NPPES
North Carolina MEDICAID 5903061
North Carolina Other 142C6

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