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Individual

DR. JASON MANGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
6 CROWN DR UNIT 111, QUINCY, MA 02169-5552
(908) 307-6896
Mailing address
6 CROWN DR UNIT 111, QUINCY, MA 02169-5552
(908) 307-6896

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24778
MA

Other

Enumeration date
07/21/2023
Last updated
07/21/2023
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