Individual
DR. KIMBERLY MAE MANGUBAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
849 COOPER ST, DEPTFORD, NJ 08096-2571
(856) 848-6346
(856) 848-5734
Mailing address
849 COOPER ST, DEPTFORD, NJ 08096-2571
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA09485100
NJ
Other
Enumeration date
08/09/2013
Last updated
07/15/2014
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