Individual
MR. JOSEPH MANGIAMELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
95 LINCOLN ST, WORCESTER, MA 01605-2431
(508) 453-3053
Mailing address
95 LINCOLN ST, WORCESTER, MA 01605-2431
(864) 436-7121
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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