Individual
DR. MARC DAMIAN MANGANIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 HERRICK ST STE 219, BEVERLY, MA 01915-5900
(978) 927-0714
(978) 927-9135
Mailing address
75 HERRICK ST STE 219, BEVERLY, MA 01915-5900
(978) 927-0714
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
243611
MA
Other
Enumeration date
07/09/2008
Last updated
07/21/2022
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