Mangonon, Virgilio
Mangonon, Virgilio is an individual health care provider with primary practice located at 525 Jack Martin Blvd Suite 300, Brick NJ 08724-7737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mangonon, Virgilio can be contacted via phone (732) 840-0067.Contact Information
Primary practice address
525 Jack Martin Blvd Suite 300
Brick NJ 08724-7737
Phone: (732) 840-0067
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MA39916 | New Jersey |
Profile Details
| NPI number | 1356330773 |
|---|---|
| LBN Legal business name | Mangonon, Virgilio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Feb 15th, 2011 - about 13 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 | 1356330773 | NPPES |
| New Jersey | MEDICAID | 0471003 |
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