Provider Demographics
NPI:1548310964
Name:DR. NESTOR R. ANG'S OFFICE
Entity type:Organization
Organization Name:DR. NESTOR R. ANG'S OFFICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-994-0978
Mailing Address - Street 1:2006 LIMESTONE RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-5553
Mailing Address - Country:US
Mailing Address - Phone:302-994-0978
Mailing Address - Fax:302-994-7399
Practice Address - Street 1:2006 LIMESTONE RD
Practice Address - Street 2:SUITE 9
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-5553
Practice Address - Country:US
Practice Address - Phone:302-994-0978
Practice Address - Fax:302-994-7399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1492174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000152402Medicaid
DE139951Medicare ID - Type Unspecified
DE0000152402Medicaid