Individual provider · NPI-1

Michael Angelo Acevedo

Student in an Organized Health Care Education/Training Program · Camden, NJ

NPI number1205722154
StatusActive
Last updated in NPPESApr 6, 2026

Details

NPI
1205722154
Entity type
Individual (NPI-1)
Name
Michael Angelo Acevedo
Sex
Male
Sole proprietor
No
Enumeration date
Jun 17, 2025
Certification date
Apr 6, 2026
Last updated
Apr 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–NJYes

Practice location

1 Cooper Plz
Camden, NJ 08103-1461

Phone 856-342-2000

Mailing address

108 Hoover Way
Woodbridge, NJ 07095-1043

Phone 848-218-9846

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