Individual
DR. EDWARD MACANGA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DM
Contact information
Practice address
255 FRONT ST, BEREA, OH 44017-1943
(440) 826-1440
Mailing address
255 FRONT ST, BEREA, OH 44017-1943
(440) 826-1440
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
3639
OH
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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