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Individual

PATRICK A MANGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1715 ROUTE 88, BRICK, NJ 08724-3008
(732) 458-7976
(732) 458-6031
Mailing address
715 ROUTE 88, BRICK, NJ 08724
(732) 458-7976
(732) 458-6031

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA012811600
NJ

Other

Enumeration date
07/16/2008
Last updated
07/16/2008
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