Individual
MURILLO V MANGUBAT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
17 W RED BANK AVE, SUITE 303, WOODBURY, NJ 08096-1630
(856) 856-0955
Mailing address
406 LIPPINCOTT DR, SUITE F, MARLTON, NJ 08053-4168
(856) 985-6800
(856) 985-3535
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MA30134
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3707806
—
NJ
Enumeration date
07/19/2005
Last updated
07/08/2007
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