Provider Demographics
NPI:1437356961
Name:MARKMAN-LIN, ANGELA (MD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:MARKMAN-LIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740-6303
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:479 COUNTY ROAD 520, MARLBORO TOWNSHIP, NJ, USA
Practice Address - Street 2:SUITE A202
Practice Address - City:MARLBORO TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07746-0774
Practice Address - Country:US
Practice Address - Phone:732-837-1130
Practice Address - Fax:732-834-0142
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08858400207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty