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Individual

DR. WARREN BRUCE MANGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
805 COOPER RD STE 4, VOORHEES, NJ 08043-3814
(856) 479-9430
(856) 281-9102
Mailing address
2000 CRAWFORD PL STE 200, MOUNT LAUREL, NJ 08054-3954
(856) 355-0340
(856) 355-0330

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
25MD00145500
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00145500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3190200
NJ
Enumeration date
12/25/2005
Last updated
10/21/2020
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