Individual
RAYMOND P MANTOVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 ROUTE 72 W, SUITE 300, MANAHAWKIN, NJ 08050-2417
(609) 597-6513
(609) 597-4593
Mailing address
1301 ROUTE 72 W, SUITE 300, MANAHAWKIN, NJ 08050-2417
(609) 597-6513
(609) 597-4593
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MA47287
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0083782000
AMERIHEALTH
NJ
05
—
0301608
—
NJ
01
—
223012814
QUALCARE
NJ
01
—
F01491
HEALTH NET
NJ
Enumeration date
11/29/2006
Last updated
11/13/2009
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