Individual
DR. FRANK P MANGINELLO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 447-8388
(201) 447-8616
Mailing address
11 GLENWOOD DR, SADDLE RIVER, NJ 07458-3303
(201) 236-3090
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25MA03313400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1423908
—
NJ
Enumeration date
05/18/2006
Last updated
07/08/2007
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