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Angel Medrano

NPI 1801410352 · on the registry since 2020 · sole proprietor

Practice

Address
315 Pine St
Elizabeth, NJ 07206
Phone
(609) 664-7121

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-06-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey