Mark Mangam

NPI 1093100620 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1093100620
Gender Male
Enumeration Date 03/31/2015
Last Updated 03/31/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
9 TWAITS RD
TOWACO NJ, 07082-1223, US
Phone (973) 334-1357
Fax
Business Location
9 TWAITS RD
TOWACO NJ, 07082-1223, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State New Jersey
License Number 40QB00304200
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According to our database, Mark Mangam NPI is 1093100620, taxonomy code is 225200000X and license number is 40QB00304200, license state is located at New Jersey. Mark Mangam physically located at 9 Twaits Rd, Towaco NJ, 07082-1223. NPI Number Mark Mangam has the Individual type.

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1093100620 NPI number is provided on an as is basis without warranty of any kind. 1093100620 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Mangam are for informational purposes only.