Individual
MR. ROBERT J MANGIALARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 23RD AVE N, SUITE 500, NASHVILLE, TN 37203-1534
(615) 342-5900
(615) 342-6086
Mailing address
330 23RD AVE N, SUITE 500, NASHVILLE, TN 37203-1534
(615) 342-5900
(615) 342-6086
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD27110
TN
207RP1001X
Pulmonary Disease Physician
Primary
MD27110
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3095731
—
TN
05
—
6402953100
—
KY
Enumeration date
09/13/2005
Last updated
06/11/2015
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