Individual
ANTHONY J MANGIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
239 WASHINGTON ST, JERSEY CITY, NJ 07302-3828
(201) 521-1100
(201) 521-1236
Mailing address
239 WASHINGTON ST, JERSEY CITY, NJ 07302-3828
(201) 521-1100
(201) 521-1236
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25A04822500
NJ
207RI0200X
Infectious Disease Physician
25A04822500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0882305
—
NJ
Enumeration date
06/05/2006
Last updated
07/06/2010
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