Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | MD448729 | PA |
NPI | 1144545351 |
---|---|
Provider Name | Hardik Mangrolia |
First Address | Bethlehem, PA 18018-2256 |
Second Address | Bethlehem, PA 18018-2256 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2010 |
Last Update Date | 23/05/2019 |