Individual
DR. DZUNG DUC-TIEN MANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6650 78TH AVENUE N, PINELLAS PARK, FL 33781-2053
(727) 548-7600
(727) 548-7608
Mailing address
6650 78TH AVENUE N, PINELLAS PARK, FL 33781-2053
(727) 548-7600
(727) 548-7608
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
054429
GA
208200000X
Plastic Surgery Physician
Primary
ME86632
FL
Other
Enumeration date
12/21/2006
Last updated
07/09/2007
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