Dr Angela Duley Harrell, MD | |
5045 Route 130, Suite F, Delran, NJ 08075-9707 | |
(856) 461-1717 | |
(856) 461-1143 |
Full Name | Dr Angela Duley Harrell |
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Gender | Female |
Speciality | Pediatrics |
Location | 5045 Route 130, Delran, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871541623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MA07106200 (New Jersey) | Primary |
Entity Name | Advocare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217 |
Mailing Address | Practice Location Address |
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Dr Angela Duley Harrell, MD 402 Lippincott Dr, Marlton, NJ 08053-4112 Ph: (856) 782-3300 | Dr Angela Duley Harrell, MD 5045 Route 130, Suite F, Delran, NJ 08075-9707 Ph: (856) 461-1717 |
Dr. Pascale Bastien, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8008 Route 130 N, Suite 204, Delran, NJ 08075 Phone: 856-824-0099 Fax: 856-824-0088 | |
Dr. Ciana Tyiesh Hayes Maxwell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5045 Route 130 Ste F, Delran, NJ 08075 Phone: 856-461-1717 | |
Dr. Michael J Foreman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5045 Route 130, Delran, NJ 08075 Phone: 856-461-1717 Fax: 856-461-1143 | |
Dr. Marta E Santos, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3104 Bridgeboro Rd Ste C, Delran, NJ 08075 Phone: 856-461-1717 |