Individual provider · Type 1 NPI
Max Mangano
Surgical Physician Assistant · Georgetown, MA
NPI number
1487274668
Active
Practice location
14 Tenney St
Georgetown, MA 01833-1710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
About NPI 1487274668
Max Mangano's National Provider Identifier is 1487274668, issued on Apr 17, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Georgetown, MA. The record was last updated on May 12, 2022.