# WHITNEY MEDICAL, ASSOCIATES, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073525614
- **Authorized official:** JESSE MANGONE D.O. (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (973) 614-8484

## Contact information

- **Practice address:** 1117 US HIGHWAY 46, CLIFTON, NJ 07013-2449
- **Practice address phone:** (973) 614-8484
- **Mailing address:** PO BOX 7306, EAST RUTHERFORD, NJ 07073-7306
- **Mailing address phone:** (973) 614-8484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 25MB03219800 | NJ | Yes |

## Other

- **Enumeration date:** 08/12/2006
- **Last updated:** 04/20/2008