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Individual

DR. JAMES ANGELO MANGANELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
9 GRAPEVINE AVE, SUITE 2, LEXINGTON, MA 02421-7062
(781) 863-0350
(781) 674-2450
Mailing address
9 GRAPEVINE AVE, SUITE 2, LEXINGTON, MA 02421-7062
(781) 863-0350
(781) 674-2450

Taxonomy

Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
PY3212PR
MA

Other

Enumeration date
12/19/2006
Last updated
07/08/2007
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