Individual
DR. CARMELITA MABANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19 DAVIS AVE, NEPTUNE, NJ 07753-4488
(732) 776-4524
(732) 776-4639
Mailing address
19 DAVIS AVE, NEPTUNE, NJ 07753-4488
(732) 776-4524
(732) 776-4639
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
052399
GA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25MA08961100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0304565
—
NJ
05
—
547197362B
—
GA
Enumeration date
11/28/2005
Last updated
11/11/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us