Provider Demographics
NPI:1508137787
Name:ARSENIO C MANLANGIT M.D., P.A.
Entity Type:Organization
Organization Name:ARSENIO C MANLANGIT M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARSENIO
Authorized Official - Middle Name:C
Authorized Official - Last Name:MANLANGIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-263-3166
Mailing Address - Street 1:115 ROUTE 46
Mailing Address - Street 2:BUILDING D, SUITE 27
Mailing Address - City:MOUNTAIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07046-1668
Mailing Address - Country:US
Mailing Address - Phone:973-263-3166
Mailing Address - Fax:973-263-3142
Practice Address - Street 1:115 ROUTE 46
Practice Address - Street 2:BUILDING D, SUITE 27
Practice Address - City:MOUNTAIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07046-1668
Practice Address - Country:US
Practice Address - Phone:973-263-3166
Practice Address - Fax:973-263-3142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-20
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA028907173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC53847Medicare UPIN