Provider Demographics
NPI:1821613191
Name:COLANGELO, CASEY ANN (PA)
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:ANN
Last Name:COLANGELO
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:314 2ND ST APT 2A
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-3689
Mailing Address - Country:US
Mailing Address - Phone:201-739-6699
Mailing Address - Fax:
Practice Address - Street 1:75 VERONICA AVE STE 205
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-5002
Practice Address - Country:US
Practice Address - Phone:732-246-9900
Practice Address - Fax:732-246-9903
Is Sole Proprietor?:No
Enumeration Date:2020-06-12
Last Update Date:2024-11-14
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant