Provider Demographics
NPI:1164742797
Name:MELE-CRAIG, ANGELA THERESA
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:THERESA
Last Name:MELE-CRAIG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 VERMEER DR APT 8
Mailing Address - Street 2:
Mailing Address - City:SOUTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08879-2345
Mailing Address - Country:US
Mailing Address - Phone:203-770-7334
Mailing Address - Fax:
Practice Address - Street 1:788 SHREWSBURY AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07724-3080
Practice Address - Country:US
Practice Address - Phone:732-758-8100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-05
Last Update Date:2010-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist