Mangiardi, Jason Rafaele

Mangiardi, Jason Rafaele is an individual health care provider with primary practice located at 85 Spring St , Laconia NH 03246-3113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Mangiardi, Jason Rafaele can be contacted via phone (603) 524-7402.

Contact Information

Primary practice address
85 Spring St Laconia NH 03246-3113
Phone: (603) 524-7402
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 2484851 New York
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 14738 New Hampshire

Profile Details

NPI number 1144410325
LBN Legal business name Mangiardi, Jason Rafaele
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2007
Last updated Aug 31st, 2020 - about 6 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 1144410325 NPPES
New Hampshire MEDICAID 3077636

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