Provider Demographics
NPI:1164631537
Name:UMALI-PAMINTUAN, MARIA ANGELA TOBIAS (MD)
Entity Type:Individual
Prefix:
First Name:MARIA ANGELA
Middle Name:TOBIAS
Last Name:UMALI-PAMINTUAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIA ANGELA
Other - Middle Name:TOBIAS
Other - Last Name:UMALI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 1719
Mailing Address - Street 2:1623 ROUTE 88 WEST
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723
Mailing Address - Country:US
Mailing Address - Phone:732-458-9666
Mailing Address - Fax:732-458-0840
Practice Address - Street 1:1623 ROUTE 88 WEST
Practice Address - Street 2:SUITE A
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723
Practice Address - Country:US
Practice Address - Phone:732-458-9666
Practice Address - Fax:732-458-0840
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA086012002080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology