Mabanta, Ricardo Y
Mabanta, Ricardo Y is an individual health care provider with primary practice located at 1001 Route 73 N Uppr Levela , Marlton NJ 08053-4524. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mabanta, Ricardo Y can be contacted via phone (856) 988-4444.Contact Information
Primary practice address
1001 Route 73 N Uppr Levela
Marlton NJ 08053-4524
Phone: (856) 988-4444
Fax: (856) 988-0553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MA059597 | New Jersey |
Profile Details
| NPI number | 1730130840 |
|---|---|
| LBN Legal business name | Mabanta, Ricardo Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2006 |
| Last updated | Sep 27th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730130840 | NPPES |
| New Jersey | MEDICAID | 6525105 |
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