Provider Demographics
NPI:1740364272
Name:MANGEL, HOWARD RICHARD (EDD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:RICHARD
Last Name:MANGEL
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 805
Mailing Address - Street 2:
Mailing Address - City:BELLE MEAD
Mailing Address - State:NJ
Mailing Address - Zip Code:08502-0805
Mailing Address - Country:US
Mailing Address - Phone:908-864-7180
Mailing Address - Fax:908-369-0557
Practice Address - Street 1:1323 HWY 27
Practice Address - Street 2:SUITE 1F
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-3457
Practice Address - Country:US
Practice Address - Phone:908-864-7180
Practice Address - Fax:908-369-0557
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00256900103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ030751000OtherMAGELLAN HEALTH
NJ051487OtherVALUE OPTIONS
NJ051487OtherVALUE OPTIONS