Charles Mango, MD

NPI #1285637611 in Syracuse, New York

Provider Information

NPI Number: 1285637611
Entity Type: Individual
Name: Charles Mango, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: May 31, 2005
Last Updated: Jan 5, 2017

Practice Location

Address: 1101 ERIE BLVD E
Address 2: STE 210
City: Syracuse
State: New York
ZIP Code: 13210-1144
Phone: (315) 218-7591

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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