Healthcare Provider Details

I. General information

NPI: 1508137787
Provider Name (Legal Business Name): ARSENIO C MANLANGIT M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2012
Last Update Date: 01/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 ROUTE 46 BUILDING D, SUITE 27
MOUNTAIN LAKES NJ
07046-1668
US

IV. Provider business mailing address

115 ROUTE 46 BUILDING D, SUITE 27
MOUNTAIN LAKES NJ
07046-1668
US

V. Phone/Fax

Practice location:
  • Phone: 973-263-3166
  • Fax: 973-263-3142
Mailing address:
  • Phone: 973-263-3166
  • Fax: 973-263-3142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberMA028907
License Number StateNJ

VIII. Authorized Official

Name: DR. ARSENIO C MANLANGIT
Title or Position: MEDICAL DOCTOR
Credential: MD
Phone: 973-263-3166