Mabanta, Carmelita

Mabanta, Carmelita is an sole proprietor health care provider with primary practice located at 19 Davis Ave , Neptune NJ 07753-4488. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Mabanta, Carmelita can be contacted via phone (732) 776-4524.

Contact Information

Primary practice address
19 Davis Ave Neptune NJ 07753-4488
Phone: (732) 776-4524
Fax: (732) 776-4639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 052399 Georgia
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 25MA08961100 New Jersey

Profile Details

NPI number 1801879598
LBN Legal business name Mabanta, Carmelita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2005
Last updated Nov 11th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801879598 NPPES
Georgia MEDICAID 547197362B
Georgia MEDICAID 0304565

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