Provider Demographics
NPI:1710066956
Name:LANFRANCHI, ANGELA ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:ELIZABETH
Last Name:LANFRANCHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:30 REHILL AVE
Mailing Address - Street 2:SUITE 3300
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-2500
Mailing Address - Country:US
Mailing Address - Phone:908-927-8994
Mailing Address - Fax:908-927-8995
Practice Address - Street 1:30 REHILL AVE
Practice Address - Street 2:SUITE 3300
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-2500
Practice Address - Country:US
Practice Address - Phone:908-927-8994
Practice Address - Fax:908-927-8995
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA32005208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ9027700Medicaid
NJ9027700Medicaid
NJ156880BC4Medicare PIN