NPI | 1689914780 |
---|---|
Former Legal Business Name | RHODORA MANGASER MD |
Entity Type | Organization |
Authorized Contact | RHODORA D MANGASER Business Owner 856-857-0002 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NJ 25MA04576300) |
Enumeration Date | 2013-02-26 |
Last Update Date | 2013-02-26 |