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Organization
JACK M MANCUS MD PC
Active
Organization
JACK M MANCUS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK M MANCUS MD (PRESIDENT)
(845) 242-2630
Entity
Organization
Contact information
Practice address
37 MILES WOOD RD, RHINEBECK, NY 12572-1852
(845) 242-2630
(845) 876-2844
Mailing address
37 MILES WOOD RD, RHINEBECK, NY 12572-1852
(845) 242-2630
(845) 876-2844
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1440301
NY
Other
Enumeration date
05/14/2008
Last updated
09/21/2023
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