Individual
PETER G MANGONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1350 LOCUST ST STE 220, PITTSBURGH, PA 15219-4738
(412) 232-9080
(412) 232-9075
Mailing address
1515 LOCUST ST STE 350, PITTSBURGH, PA 15219-5131
(412) 232-9080
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
9900595
NC
207X00000X
Orthopaedic Surgery Physician
MD4844967
PA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
9900595
NC
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
MD484967
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12024
BCBS
NC
05
—
8912024
—
NC
Enumeration date
05/31/2006
Last updated
08/28/2024
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