Individual
DR. MICHAEL K MANTINAOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 CATAMARAN COURT, MOUNT ARLINGTON, NJ 07856
(973) 770-1685
Mailing address
24 CATAMARAN COURT, MOUNT ARLINGTON, NJ 07856
(973) 770-1685
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MA073187
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01867812
—
NJ
Enumeration date
11/30/2006
Last updated
07/09/2007
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