Individual
DR. KEVIN C MANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD. MSCE
Contact information
Practice address
95 OLD SHORT HILLS RD, WEST ORANGE, NJ 07052-1008
(973) 322-4292
Mailing address
95 OLD SHORT HILLS RD, WEST ORANGE, NJ 07052-1008
(973) 322-4292
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
059872L
PA
Other
Enumeration date
04/06/2010
Last updated
01/11/2013
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