MEDICARE: MRS. OLFEA D. MANGLE PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	40QA00504100	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	44902	OTHER	NJ	CIGNA-ORTHONET
2	Q23Q61	OTHER	NJ	EMPIRE BC BS
3	1591748	OTHER	NJ	FOCUS
4	P3440262	OTHER	NJ	OXFORD HEALTH PLANS
5	687933	OTHER	NJ	ACN GROUP
6	0000-225-0032-04	OTHER	NJ	UNITED HEALTHCARE
7	3K4126	OTHER	NJ	HEALTHNET

General Provider Information

NPI Number	:	1932252855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. OLFEA D. MANGLE PT

Provider Business Mailing Address
First Line	:	18 RAYMOND TER
Second Line	:	ELIZABETH
City	:	ELIZABETH
State	:	NJ
Zip	:	07208-1710
Country	:	US
Telephone Number	:	908-354-3359
Fax Number	:	908-659-9229

Provider Business Practice Location Address
First Line	:	700 N BROAD ST STE 102
Second Line	:
City	:	ELIZABETH
State	:	NJ
Zip	:	07208-2310
Country	:	US
Telephone Number	:	908-354-1511
Fax Number	:	908-659-9229

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	03/11/2008

Similar Medicare Providers

1144212234 — DR. JACOB M. PLAWNER DDS
Practice Location Address:

700 N BROAD ST , SUITE 101
ELIZABETH, NJ
07208-2310

Practice Phone: 908-354-8678
Practice Fax: 908-354-5864

1356376206 — JEFFREY DAVID ROSEN M.D.
Practice Location Address:

700 N BROAD ST , SUITE 202
ELIZABETH, NJ
07208-2310

Practice Phone: 888-428-4588
Practice Fax:

1891897229 — MR. ESSAM ABDOU OTHMAN MD
Practice Location Address:

700 N BROAD ST , STE #LL4 FAMILY MEDICAL GROUP
ELIZABETH, NJ
07208-2310

Practice Phone: 908-436-0022
Practice Fax: 908-436-0088

1962507905 — DR. FRANKLIN A MORROW M.D.
Practice Location Address:

700 N BROAD ST , STE#302
ELIZABETH, NJ
07208-2310

Practice Phone: 908-289-3666
Practice Fax: 908-289-0716

1114003936 — ROBERT KOGAN M.D.
Practice Location Address:

700 N BROAD ST
ELIZABETH, NJ
07208-2310

Practice Phone: 908-354-1045
Practice Fax:

1740334507 — ADVANCED UROLOGY ASSOCIATES, P.A.
Practice Location Address:

700 N BROAD ST , STE# 302
ELIZABETH, NJ
07208-2310

Practice Phone: 908-289-3666
Practice Fax: 908-289-0716

Directions to “ MRS. OLFEA D. MANGLE PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.