Individual
LINN M MANGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3333 BURNET AVENUE, ML 4008, CINCINNATI, OH 45229-3026
(513) 636-4751
(513) 636-7911
Mailing address
3333 BURNET AVENUE, ML 4008, CINCINNATI, OH 45229-3026
(513) 636-4751
(513) 636-7911
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35.067259
OH
207W00000X
Ophthalmology Physician
TP004
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095982000
—
WV
05
—
200099910
—
IN
01
—
P00354867
RAILROAD MEDICARE
WV
Enumeration date
08/10/2005
Last updated
07/24/2024
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