Organization
MANGO-MD
Active
Other names
Mango-RX
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK FRANCIS BREEN (CEO)
(267) 895-5977
Entity
Organization
Contact information
Practice address
501 HYDE PARK, SUITE 503 - SECOND FLOOR, DOYLESTOWN, PA 18902-6606
(267) 895-5977
Mailing address
501 HYDE PARK, SUITE 503 - SECOND FLOOR, DOYLESTOWN, PA 18902-6606
(267) 895-5977
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
08/09/2013
Last updated
08/11/2013
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