Individual provider · Type 1 NPI

Joan Ruth Esperanza Manglicmot, MD

Student in an Organized Health Care Education/Training Program · Hackensack, NJ

NPI number 1447606579 Active

Practice location

30 Prospect Ave, 3rd Floor Main Building Room 3627
Hackensack, NJ 07601-1915

Call (551) 996-2331 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1447606579

Joan Ruth Esperanza Manglicmot, MD's National Provider Identifier is 1447606579, issued on May 7, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hackensack, NJ. The record was last updated on Dec 17, 2021.