Individual
DR. ANDREW J MANGANARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
610 W MAIN STREET, SUITE 301, WILMINGTON, OH 45177
(937) 382-3364
(937) 382-3314
Mailing address
1821 SCHNEBLY ROAD, XENIA, OH 43585
(937) 372-1742
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35046214
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0484033
—
OH
Enumeration date
11/08/2006
Last updated
08/17/2007
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