Mangini-Harold, Graham

Mangini-Harold, Graham is an individual health care provider with primary practice located at 725 Airport Rd , Lakewood NJ 08701-5968. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Mangini-Harold, Graham can be contacted via phone (732) 367-8859.

Contact Information

Primary practice address
725 Airport Rd Lakewood NJ 08701-5968
Phone: (732) 367-8859
Fax: (732) 367-8242
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X New Jersey

Profile Details

NPI number 1467180414
LBN Legal business name Mangini-Harold, Graham
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2022
Last updated Aug 9th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467180414 NPPES
New Jersey MEDICAID 0029807

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