Individual
MS. ELLEN J MANGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
500 YORK RD STE 203, JENKINTOWN, PA 19046-2872
(215) 886-0174
(215) 886-9217
Mailing address
500 YORK RD STE 203, JENKINTOWN, PA 19046-2872
(215) 886-0174
(215) 886-9217
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS015496
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102823860
—
PA
Enumeration date
05/17/2007
Last updated
01/16/2018
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