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Individual

DR. VAIBHAV H MANGRULKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8629 SUDLEY RD, SUITE 102, MANASSAS, VA 20110-4590
(703) 361-3030
Mailing address
8629 SUDLEY RD, SUITE 102, MANASSAS, VA 20110-4590

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MA08551700
NJ

Other

Enumeration date
03/19/2008
Last updated
08/13/2014
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