Individual ProviderAngela Therese LantinFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address755 Memorial Pkwy Ste 300, Phillipsburg, NJ 08865-2748(908) 454-6303(671) 633-3800PECOS EnrollmentBased on the most recent information from CMS, provider Angela Therese Lantin does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1083893689Provider TypeIndividualFull NameLantin, Angela ThereseCredentialMDGenderFemaleSole ProprietorNoEnumeration Date10/31/2007Last Updated9/3/2016Contact InformationPractice LocationPractice Address755 Memorial Pkwy Ste 300, Phillipsburg, NJ 08865-2748Phone(908) 454-6303Fax(908) 454-2289Mailing LocationMailing Address600 Harmon Loop Rd, Ste 105, Dededo, GU 96929-6536Phone(671) 633-3800Fax(671) 633-3801Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseM-1992GuamCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseA112424California