| Joseph Mangel, D.o. P.c. | |
|
201 Mckean St Philadelphia PA 19148-2627 | |
| (215) 755-2500 | |
| (215) 755-3890 |
| Full Name | Joseph Mangel, D.o. P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 Mckean St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Joseph Mangel (OWNER) |
| Authorized Official Contact | 2157552500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Mangel, D.o. P.c. 201 Mckean St Philadelphia PA 19148-2627 Ph: (215) 755-2500 | Joseph Mangel, D.o. P.c. 201 Mckean St Philadelphia PA 19148-2627 Ph: (215) 755-2500 |
| NPI Number | 1144261959 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 11/13/2007 |
| Medicare PECOS PAC ID | 4486740388 |
|---|---|
| Medicare Enrollment ID | O20071023000243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144261959 | NPI | - | NPPES |
| 0015018140002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS007738L (Pennsylvania) | Primary |
| Provider Name | Joseph Mangel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093759409 PECOS PAC ID: 7315033214 Enrollment ID: I20071023000228 |
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