Individual
ANTHONY MANGIERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
297 LAFAYETTE AVE, HAWTHORNE, NJ 07506-1919
(973) 423-9388
(973) 423-2502
Mailing address
297 LAFAYETTE AVE, HAWTHORNE, NJ 07506-1919
(973) 423-9388
(973) 423-2502
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MP000469000
NJ
Other
Enumeration date
05/01/2009
Last updated
05/01/2009
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