Mangel, Warren Bruce

Mangel, Warren Bruce is an individual health care provider with primary practice located at 805 Cooper Rd Ste 4 , Voorhees NJ 08043-3814. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Mangel, Warren Bruce can be contacted via phone (856) 479-9430.

Contact Information

Primary practice address
805 Cooper Rd Ste 4 Voorhees NJ 08043-3814
Phone: (856) 479-9430
Fax: (856) 281-9102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00145500 New Jersey
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 25MD00145500 New Jersey

Profile Details

NPI number 1033196670
LBN Legal business name Mangel, Warren Bruce
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 25th, 2005
Last updated Oct 21st, 2020 - about 4 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 1033196670 NPPES
New Jersey MEDICAID 3190200

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