| Doctor Name: | MISS MONIKA WYGANOWSKA MANSMANN |
| NPI Number: | 1124141304 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 25MP00147300 |
| Business Practice Address: | 850 Bear Tavern Road Suite 309 Ewing, NJ - 086281018 |
| Business Phone Number: | 6093946211 |
| Business Fax Number: | 6092785469 |
| Mailing Address: | Po Box 8500-8582, PHILADELPHIA |
| State: | PA |
| Postal Code: | 191788582 |
| Phone Number: | 6098157810 |
| Fax Number: | 6098157814 |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 02/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 25MP00147300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |