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Contact Information

PAUL M MANGANARO
600 HIGHLAND AVE
MADISON, WI53792-0001
 Phone: 608-263-6400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiologist Assistant

367H00000X 32 Anesthesiology Assistant
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for PAUL M MANGANARO · (Male)

NPI Number 1568088474
Status Active
Credentials
Entity Individual
Enumeration date 06/17/2020
Last updated 07/06/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 168
  • WI License # 168-17
Hospital affiliation(s)
  • UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY - (Acute Care)
    600 HIGHLAND AVENUE
    MADISON, WI 53792
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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