Kevin Mangan CCC-A

NPI 1164530002 - Audiologist - 231H00000X

NPI Details
NPI 1164530002
Gender Male
Enumeration Date 08/29/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
510 NORTH ST
SUITE ONE
PITTSFIELD MA, 01201-4111, US
Phone (413) 448-8291
Fax (413) 447-9040
Business Location
510 NORTH ST
SUITE ONE
PITTSFIELD MA, 01201-4111, US
Phone (413) 448-8291
Fax (413) 447-9040
Toxanomy
Taxonomy Code 231H00000X
License State Massachusetts
License Number 4570
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According to our database, Mr. Kevin Mangan CCC-A NPI is 1164530002, taxonomy code is 231H00000X and license number is 4570, license state is located at Massachusetts. Kevin Mangan CCC-A physically located at 510 North St, Pittsfield MA, 01201-4111. NPI Number Kevin Mangan CCC-A has the Individual type.

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1164530002 NPI number is provided on an as is basis without warranty of any kind. 1164530002 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Mangan CCC-A are for informational purposes only.