RICARDO Y MABANTA

MARLTON, NJ
NPI1730130840
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: NJ  MA059597)
Enumeration Date2006-05-13
Last Update Date2022-09-27
Business Address
RICARDO Y MABANTA MD
1001 ROUTE 73 N UPPR LEVELA
MARLTON, NJ 08053-4524
Phone number: 856-988-4444
Mailing Address
RICARDO Y MABANTA MD
301 LIPPINCOTT DR STE 410
MARLTON, NJ 08053-4197
Phone number: 856-355-0340
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