Individual
MANGESH M MUNGEKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-3150
(856) 968-8418
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA068982
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011380
—
NJ
01
—
010005596
AMERICHOICE
—
01
—
2279363000
AMERIHEALTH, KEYSTONE, IBC
—
01
—
2363422
UNITED HEALTHCARE
—
01
—
3314799
AETNA
—
01
—
37567
UNIVERSITY HEALTHPLAN
—
01
—
4930500
CIGNA
—
01
—
60002011
HORIZON NJ HEALTH
—
01
—
P00113248
RR MEDICARE
—
01
—
P3083757
OXFORD
—
Enumeration date
10/31/2006
Last updated
05/16/2019
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