Individual
DR. ALEXANDER MANTEGHI
Active
Individual
DR. ALEXANDER MANTEGHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
20A14339
CA
207Y00000X
Otolaryngology Physician
Primary
OS017821
PA
207Y00000X
Otolaryngology Physician
OT014251
PA
Other
Enumeration date
06/05/2011
Last updated
01/07/2018
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