Individual
DENNIS THOMAS MANGANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 GENEVRA RD, HILLSBOROUGH, CA 94010-6423
(650) 814-3203
Mailing address
30 GENEVRA RD, HILLSBOROUGH, CA 94010-6423
(650) 814-3203
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
G30799
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G30799
CALIFORNIA LICENSE
CA
Enumeration date
01/24/2018
Last updated
06/16/2018
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