Doctor Name: | DR. FLORINDA R MANGAHAS |
NPI Number: | 1578663514 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MA34366NJ |
Business Practice Address: | 73 Monroe Ave Roseland, NJ - 07068 |
Business Phone Number: | 9734321944 |
Business Fax Number: | |
Mailing Address: | 73 Monroe Ave, ROSELAND |
State: | NJ |
Postal Code: | 070681325 |
Phone Number: | 9734321944 |
Fax Number: | |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 01/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MA34366NJ |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |