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Ed Fortune Aguilos Mangio, AGNP-BC
Medical Physician Assistant in Norwood, Massachusetts
NPI 1659700599

Ed Fortune Aguilos Mangio is a Medical Physician Assistant based in Columbus, MA and is specialized in Medical. Ed Fortune Aguilos Mangio practices in Norwood, MA and has the professional credentials of AGNP-BC. The NPI Number for Ed Fortune Aguilos Mangio is 1659700599 and holds a License No. COA.15334 (Massachusetts).

The current practice location address for Ed Fortune Aguilos Mangio is 800 Washington St, Norwood, MA and can be reached out via phone at 781-278-6260. You can also correspond with Ed Fortune Aguilos Mangio through the mailing address at 6001 E BROAD ST, COLUMBUS, OH - 43213-1502 (mailing address contact number: 614-234-6000).

Location: 800 Washington St, Norwood, MA, 43213-1502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659700599
Provider Name
Ed Fortune Aguilos Mangio
Credential
AGNP-BC
Provider Entity Type
Individual
Gender
Male
Address
800 Washington St, Norwood, MA, 43213-1502
Phone Number
781-278-6260
Fax Number
Provider Enumeration Date
11/01/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
800 Washington St
City
Norwood
State
Massachusetts
Zip
02062-3487
Phone Number
781-278-6260
Fax Number
person
Provider Business Mailing Address Details
Address
800 Washington St
City
Norwood
State
Massachusetts
Zip
02062-3487
Phone Number
781-278-6260
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
110868 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
COA.15334 (Ohio)
Definition
Definition to come...
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