Mangura, Bonita T.
Mangura, Bonita T. is an individual health care provider with primary practice located at 225 Warren St 1St Floor, Newark NJ 07103-3535. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Mangura, Bonita T. can be contacted via phone (973) 972-6232.Contact Information
Primary practice address
225 Warren St 1St Floor
Newark NJ 07103-3535
Phone: (973) 972-6232
Fax: (973) 972-3832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 25MA03324400 | New Jersey |
Profile Details
| NPI number | 1861586141 |
|---|---|
| LBN Legal business name | Mangura, Bonita T. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 14th, 2009 - about 15 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 | 1861586141 | NPPES |
| New Jersey | MEDICAID | 1623702 |
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