Augustus G Mantia, MD

NPI #1588662829 in Nesconset, New York

Provider Information

NPI Number: 1588662829
Entity Type: Individual
Name: Augustus G Mantia, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jul 11, 2005
Last Updated: Apr 22, 2015

Practice Location

Address: 59 SOUTHERN BLVD
City: Nesconset
State: New York
ZIP Code: 11767-1090
Phone: (631) 659-1700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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