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Individual

CHARLES WILLIAM MANGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
915 PALMER RD, BRONXVILLE, NY 10708-3304
(914) 793-6900
(914) 779-7810
Mailing address
915 PALMER RD, BRONXVILLE, NY 10708-3304
(914) 793-6900
(914) 779-7810

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
223862-1
NY

Other

Enumeration date
04/27/2006
Last updated
07/08/2007
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