Provider Information for 1073861746
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ANGELA GUEDES
Sex: Female
NPI: 1073861746
Last Updated: 2024-07-16
Certification Date: 2024-07-16
Certification Date: 2024-07-16
Details
Name | Value | ||||||||||||
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NPI | 1073861746 | ||||||||||||
Enumeration Date | 2012-08-28 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 6550 DELILAH ROAD, SUITE 301 ATLANTICARE BEHAVIORAL HEALTH, INC. EGG HARBOR TOWNSHIP, NJ 08234 United States Phone: 609-272-8580 | Fax:609-645-7343 | ||||||||||||
Primary Practice Address | 13 N HARTFORD AVE ATLANTIC CITY, NJ 08401-3512 United States Phone: 609-348-1161 | Fax:609-645-7343 | ||||||||||||
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