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Individual

DR. DAVID THOMAS MANGANARO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
776 SHREWSBURY AVE STE 103B, TINTON FALLS, NJ 07724-3006
(732) 383-7310
(732) 383-5924
Mailing address
776 SHREWSBURY AVE STE 103B, TINTON FALLS, NJ 07724-3006
(732) 383-7310
(732) 383-5924

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
171066
NY
207R00000X
Internal Medicine Physician
Primary
25MA08934100
NJ

Other

Enumeration date
09/13/2005
Last updated
12/05/2018
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