Individual
DR. SALVATORE MANGIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
834 WALNUT ST, SUITE 650, PHILADELPHIA, PA 19107-5109
(215) 955-5161
(215) 923-6003
Mailing address
834 WALNUT ST, SUITE 650, PHILADELPHIA, PA 19107-5109
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD039258
PA
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
MD039258L
PA
207RP1001X
Pulmonary Disease Physician
Primary
MD039258L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001042524
—
PA
05
—
7890907
—
NJ
Enumeration date
07/21/2006
Last updated
11/18/2014
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