Provider Demographics
NPI:1447437868
Name:OATES, ANGELA J (MD,)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:J
Last Name:OATES
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 1:78 OMEGA DR BLDG C
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2064
Mailing Address - Country:US
Mailing Address - Phone:302-368-2883
Mailing Address - Fax:302-368-2892
Practice Address - Street 1:78 OMEGA DR BLDG C
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2064
Practice Address - Country:US
Practice Address - Phone:302-368-2883
Practice Address - Fax:302-368-2892
Is Sole Proprietor?:No
Enumeration Date:2008-01-28
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08802300207RI0200X
PAMD440140207RI0200X
DEC10024910207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0243302Medicaid
PA1025212330001Medicaid
PA193582YCS4Medicare PIN
PA1025212330001Medicaid