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1730130840
RICARDO Y MABANTA
MARLTON, NJ
NPI
1730130840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: NJ MA059597)
Enumeration Date
2006-05-13
Last Update Date
2024-10-10
Business Address
RICARDO Y MABANTA MD
1001 ROUTE 73 N UPPR LEVEL A & MAIN LEVEL
MARLTON, NJ 08053-4524
Phone number: 856-988-4444
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Mailing Address
RICARDO Y MABANTA MD
301 LIPPINCOTT DR STE 410
MARLTON, NJ 08053-4197
Phone number: 856-355-0340
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