| Dr Mangia Associates Pc | |
|
239 Washington Street Jersey City NJ 07302 | |
| (201) 521-1100 | |
| Not Available |
| Full Name | Dr Mangia Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 239 Washington Street, Jersey City, New Jersey |
| Authorized Official Name and Position | Anthony J Mangia (PRESIDENT) |
| Authorized Official Contact | 2015211100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mangia Associates Pc 239 Washington Street Jersey City NJ 07302 Ph: (201) 521-1100 | Dr Mangia Associates Pc 239 Washington Street Jersey City NJ 07302 Ph: (201) 521-1100 |
| NPI Number | 1003101270 |
|---|---|
| Provider Enumeration Date | 06/15/2011 |
| Last Update Date | 06/15/2011 |
| Medicare PECOS PAC ID | 5799953089 |
|---|---|
| Medicare Enrollment ID | O20110712000107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003101270 | NPI | - | NPPES |
| 0882305 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 25MA04822500 (New Jersey) | Primary |
| Provider Name | Anthony Mangia |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750320040 PECOS PAC ID: 6608044995 Enrollment ID: I20110712000131 |
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