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Organization
WARREN B. MANGEL, DPM
Active
Organization
WARREN B. MANGEL, DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN MANGEL D.P.M. (DOCTOR)
(856) 963-0190
Entity
Organization
Contact information
Practice address
6650 BROWNING RD, SUITE M20, PENNSAUKEN, NJ 08109-1479
(856) 963-0190
(856) 963-5100
Mailing address
6650 BROWNING RD, SUITE M20, PENNSAUKEN, NJ 08109-1479
(856) 963-0190
(856) 963-5100
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00145500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0084242000
AMERIHEALTH
NJ
05
—
3190200
—
NJ
01
—
480004285
MEDICARE RRB
NJ
Enumeration date
01/08/2007
Last updated
10/12/2012
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