Individual
DR. AUSTINE Y. MENGNJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1030 REED AVENUE, SUITE 114, WYOMISSING, PA 19610-2029
(610) 376-7365
(610) 376-1320
Mailing address
1030 REED AVENUE, SUITE 114, WYOMISSING, PA 19610-2029
(610) 376-7365
(610) 376-1320
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD443487
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026546140002
—
PA
Enumeration date
07/09/2009
Last updated
01/18/2017
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