Organization
MONGARE FOOT & ANKLE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAPHETH OGAMBA MONGARE DPM (PODIATRIST)
(203) 606-2694
Entity
Organization
Contact information
Practice address
117 E CENTER ST, MANCHESTER, CT 06040-5246
(860) 432-1358
(860) 432-1396
Mailing address
117 E CENTER ST, MANCHESTER, CT 06040-5246
(860) 432-1358
(860) 432-1396
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
881
CT
213ES0103X
Foot & Ankle Surgery Podiatrist
881
CT
332B00000X
Durable Medical Equipment & Medical Supplies
881
CT
Other
Enumeration date
04/23/2012
Last updated
01/16/2015
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