Provider Demographics
NPI:1881853513
Name:MANGIONE, ELLEN JONES (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:JONES
Last Name:MANGIONE
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Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1055 CLERMONT ST
Mailing Address - Street 2:COS OFFICE, BOX 11
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-3808
Mailing Address - Country:US
Mailing Address - Phone:303-393-2820
Mailing Address - Fax:303-393-2861
Practice Address - Street 1:1055 CLERMONT ST
Practice Address - Street 2:COS OFFICE, BOX 11
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3808
Practice Address - Country:US
Practice Address - Phone:303-393-2820
Practice Address - Fax:303-393-2861
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO28093207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease