Individual
FARAG AMIN MANKARIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 ROUTE 34, SUITE 216, COLTS NECK, NJ 07722-2519
(732) 863-5515
(732) 863-5516
Mailing address
410 ROUTE 34, SUITE 216, COLTS NECK, NJ 07722-2519
(732) 863-5515
(732) 863-5516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07048000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8206708
—
NJ
Enumeration date
07/09/2006
Last updated
01/03/2013
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