Mark Mangam
Physical Therapy Assistant in Towaco, New Jersey
1093100620- Practice location
- 9 Twaits RD, Towaco, NJ 07082-1223
- Phone
- 973-334-1357
- Fax
- —
- Last updated
- March 31, 2015
Mark Mangam is a Physical Therapy Assistant based in Towaco, NJ. Mark Mangam practices in Towaco, NJ. The NPI Number for Mark Mangam is 1093100620 and holds a License No. 40QB00304200 (NJ). The current practice location address for Mark Mangam is 9 Twaits RD, Towaco, NJ 07082-1223 and can be reached out via phone at 973-334-1357.
Provider Profile Details
- NPI Number
- 1093100620
- Provider Name
- Mark Mangam
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 9 Twaits RD, Towaco, NJ 07082-1223
- Phone Number
- 973-334-1357
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 31, 2015
- Last Update Date
- March 31, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9 Twaits RD
Towaco, NJ 07082-1223 - City
- Towaco
- State
- New Jersey
- Zip
- 07082-1223
- Phone Number
- 973-334-1357
Provider Business Mailing Address Details
- Address
- 9 Twaits RD
Towaco, NJ 07082-1223 - City
- Towaco
- State
- NJ
- Zip
- 07082-1223
License Information
- License Number
- 40QB00304200
- License State
- NJ
- Taxonomy
- Physical Therapy Assistant · 225200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mark Mangam?
The NPI number of Mark Mangam is 1093100620. It was assigned on March 31, 2015 and is currently active in the NPPES registry.
What is the specialty of Mark Mangam?
Mark Mangam is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00304200.
Where does Mark Mangam practice?
The practice location is 9 Twaits RD, Towaco, NJ 07082-1223. The office can be reached at 973-334-1357 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093100620 directly on the NPPES registry website.