Individual
DR. DIPTY MANGLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
776 E PROVIDENCE RD, APARTMENT D 309, ALDAN, PA 19018
(732) 675-1923
Mailing address
300 SHORE RD, LINWOOD, NJ 08221-2527
(267) 273-9083
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MT 194775
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA10305900
NJ
208VP0014X
Interventional Pain Medicine Physician
25MA10305900
NJ
Other
Enumeration date
12/02/2009
Last updated
12/09/2022
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