Provider Demographics
NPI:1750505442
Name:MANGUBAT, CYNTHIA PEREZ (MD)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:PEREZ
Last Name:MANGUBAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:PEREZ
Other - Last Name:MANGUBAT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:819 S GOVERNORS AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-4158
Mailing Address - Country:US
Mailing Address - Phone:302-883-3677
Mailing Address - Fax:302-736-6951
Practice Address - Street 1:819 S GOVERNORS AVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-4158
Practice Address - Country:US
Practice Address - Phone:302-883-3677
Practice Address - Fax:302-736-6951
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0008313207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology