Individual provider · Type 1 NPI
Dominic Ryan Mangino, MD
Student in an Organized Health Care Education/Training Program · Baltimore, MD
NPI number
1598521015
Active
Practice location
1800 Orleans St
Baltimore, MD 21287-0010
Mailing address
6201 Greenleigh Ave
Baltimore, MD 21220-2004
Other practice locations
- 885 Tiverton Drive, Los Angeles, CA 90095-0001 · (310) 825-6373
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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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- Caroline Frances Plott, MSStudent in an Organized Health Care Education/Training Program Baltimore, MD NPI 1003386574
About NPI 1598521015
Dominic Ryan Mangino, MD's National Provider Identifier is 1598521015, issued on Feb 22, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on May 1, 2025.