Individual
JOSEPH MANGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5 WASHINGTON PLACE, SUITE 1B, BEDFORD, NH 03110
(603) 314-4567
Mailing address
5 WASHINGTON PLACE, SUITE 1B, BEDFORD, NH 03110
(603) 314-4567
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0773
NH
Other
Enumeration date
04/08/2010
Last updated
04/15/2025
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