Individual
MARINA MANGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
9505 3RD AVE, STONE HARBOR, NJ 08247-1928
(609) 600-7292
Mailing address
9505 3RD AVE, STONE HARBOR, NJ 08247-1928
(609) 425-5446
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
38MC00772100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902317225
NPI NUMBER
—
Enumeration date
10/12/2017
Last updated
07/21/2022
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