Individual
TYLER ANTHONY MANLANGIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
85 HARRISTOWN RD, GLEN ROCK, NJ 07452-3329
(844) 366-8800
Mailing address
85 HARRISTOWN RD, GLEN ROCK, NJ 07452-3329
(844) 366-8800
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00915200
NJ
Other
Enumeration date
02/15/2025
Last updated
02/15/2025
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