Ghassem Mangouri, M.D.

NPI #1134119209 in Johnson City, New York

Provider Information

NPI Number: 1134119209
Entity Type: Individual
Name: Ghassem Mangouri, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Oct 28, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 355 RIVERSIDE DR
City: Johnson City
State: New York
ZIP Code: 13790-2708
Phone: (607) 798-0706

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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