Individual
ANTHONY MANGIARACINA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
278 EAGLEVIEW BLVD, EXTON, PA 19341-1157
(610) 561-6400
Mailing address
278 EAGLEVIEW BLVD, EXTON, PA 19341-1157
(610) 561-6400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS004865L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009461160004
—
PA
05
—
0009461160005
—
PA
05
—
0009461160006
—
PA
01
—
0023427000
KEYSTONE, IBC
PA
01
—
00946116-03
AMERICHOICE TC
PA
01
—
00946116-04
AMERICHOICE-FB
PA
01
—
00946116-05
AMERICHOICE-FF
PA
01
—
049648
HIGHMARK BLUE SHIELD
PA
01
—
07645
HEALTH PARTNERS
PA
01
—
1096736
KEYSTONE MERCY
PA
01
—
1978446
FIRST HEALTH
PA
01
—
20045151
AMERIHEALTH MERCY
PA
01
—
452729
AETNA CONTRACT
PA
01
—
6513766
CIGNA
PA
01
—
810314246
PHCS
PA
01
—
930073142
RAILROAD MEDICARE
PA
Enumeration date
08/23/2006
Last updated
03/05/2018
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