| Doctor Name: | DR. WARREN BRUCE MANGEL |
| NPI Number: | 1033196670 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | 25MD00145500 |
| Business Practice Address: | 805 Cooper Rd Ste 4 Voorhees, NJ - 080433814 |
| Business Phone Number: | 8564799430 |
| Business Fax Number: | 8562819102 |
| Mailing Address: | 805 Cooper Rd Ste 4, VOORHEES |
| State: | NJ |
| Postal Code: | 080433814 |
| Phone Number: | 8564799430 |
| Fax Number: | 8562819102 |
| NPI Enumeration Date: | 12/25/2005 |
| NPI Last Update Date: | 01/21/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 25MD00145500 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |