Individual
REGINA MARIE MANGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
698 MULLICA HILL RD STE 330, MULLICA HILL, NJ 08062-4453
(856) 845-3707
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR19441000
NJ
363L00000X
Nurse Practitioner
Primary
26NJ14913200
NJ
Other
Enumeration date
01/19/2023
Last updated
10/03/2025
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