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Organization
THOMAS J MANGO MD PC
Active
Organization
THOMAS J MANGO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA BANCROFT (MANAGER)
(631) 758-3911
Entity
Organization
Contact information
Practice address
31 OAK ST, SUITE 3, PATCHOGUE, NY 11772-2887
(631) 758-3911
(631) 758-4072
Mailing address
31 OAK ST, SUITE 3, PATCHOGUE, NY 11772-2887
(631) 758-3911
(631) 758-4072
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
210442
NY
Other
Enumeration date
04/06/2006
Last updated
08/22/2020
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