Dr. Subita S Mangru
Adolescent Medicine
159 Millburn Ave
Millburn
, New Jersey 07041-1849
Dr. Subita S Mangru
Adolescent Medicine
159 Millburn Ave
Millburn
, New Jersey 07041-1849
(973) 912-8714
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Subita S Mangru
- 159 Millburn Ave
- Millburn, NJ
- Zip : 07041-1849
- Fax : (973) 912-8714
- Phone : (973) 912-0155
Second Address
- Dr. Subita S Mangru
- 159 Millburn Ave
- Millburn, NJ
- Zip : 07041-1849
- Fax : (973) 912-8714
- Phone : (973) 912-0155
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 25MA06457500 | NJ |
National Provider Identifier
| NPI | 1043279193 |
|---|---|
| Provider Name | Dr. Subita S Mangru |
| First Address | Millburn, NJ 07041-1849 |
| Second Address | Millburn, NJ 07041-1849 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/03/2006 |
| Last Update Date | 12/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.