Individual
DR. ROGER GRANT MENGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 CHERRY ST - ROOM 401, PA DEPT OF HEALTH - SOUTHEASTERN DISTRICT, READING, PA 19602-1187
(610) 378-4352
(610) 621-5890
Mailing address
625 CHERRY ST - ROOM 401, PA DEPT OF HEALTH - SOUTHEASTERN DISTRICT, READING, PA 19602-1187
(610) 378-4352
(610) 621-5890
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
15453E
PA
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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