| NPI | 1366429821 |
|---|---|
| Other Name | FREMONT EMERGENCY SERVICES (MANDAVIA), LTD. |
| Entity Type | Organization |
| Authorized Contact | ROBIN MOUGANIS Director 856-686-4394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2025-10-28 |