Provider Demographics
NPI:1689915969
Name:MANGEL, ALLEN WAYNE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:WAYNE
Last Name:MANGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 UKIAH LN
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-1476
Mailing Address - Country:US
Mailing Address - Phone:919-931-9862
Mailing Address - Fax:919-541-1275
Practice Address - Street 1:208 UKIAH LN
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-1476
Practice Address - Country:US
Practice Address - Phone:919-931-9862
Practice Address - Fax:919-541-1275
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC391931744R1102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study