Organization
RHODORA MANGASER MD LLC
Active
Other names
RHODORA MANGASER MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RHODORA D MANGASER MD (BUSINESS OWNER)
(856) 857-0002
Entity
Organization
Contact information
Practice address
600 SOMERDALE RD, SUITE 101, VOORHEES, NJ 08043-1858
(856) 857-0002
(856) 857-0040
Mailing address
600 SOMERDALE RD, SUITE 101, VOORHEES, NJ 08043-1858
(856) 857-0002
(856) 857-0040
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
25MA04576300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2218607
—
NJ
Enumeration date
02/26/2013
Last updated
02/26/2013
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