Individual
DOUGLAS M MANGANELLI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1907 ROUTE 35, SUITE 2, OAKHURST, NJ 07755-2765
(732) 275-7779
(732) 660-1998
Mailing address
1907 ROUTE 35, SUITE 2, OAKHURST, NJ 07755-2765
(732) 275-7779
(732) 660-1998
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA53302
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5368405
—
NJ
Enumeration date
06/09/2006
Last updated
07/08/2007
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