Search › New Jersey › 225200000X
Mark Mangam
NPI 1093100620 · on the registry since 2015 · sole proprietor
Practice
- Address
- 9 Twaits Rd
Towaco, NJ 07082 - Phone
- (973) 334-1357
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-03-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey