Individual
AMY JOY MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0001
(301) 295-4000
Mailing address
PSC 475 BOX 1, FPO, AP 96350-1200
(315) 243-7442
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207R00000X
Internal Medicine Physician
Primary
0101284280
VA
208D00000X
General Practice Physician
Primary
0101284280
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2023
Last updated
08/11/2026
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