Individual
DR. SUBITA S MANGRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
159 MILLBURN AVE, MILLBURN, NJ 07041-1849
(973) 912-0155
(973) 912-8714
Mailing address
159 MILLBURN AVE, MILLBURN, NJ 07041-1849
(973) 912-0155
(973) 912-8714
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA06457500
NJ
Other
Enumeration date
03/18/2006
Last updated
07/12/2007
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