Individual
MR. ANDREI M MANALANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1777 HAMBURG TPKE, SUITE 105, WAYNE, NJ 07470-5211
(862) 248-0840
(862) 248-0841
Mailing address
57 FLORAL TER, TENAFLY, NJ 07670-2449
(201) 266-4695
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00694800
NJ
Other
Enumeration date
03/05/2007
Last updated
12/02/2011
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