ED FORTUNE AGUILOS MANGIO AGNP-BC NPI 1659700599

NPI Information

NPI: 1659700599
Provider Name: ED FORTUNE AGUILOS MANGIO, AGNP-BC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
800 WASHINGTON ST
NORWOOD, MA
ZIP 02062
Phone: (781) 278-6260
Get Directions

Ed Fortune Aguilos Mangio, AGNP-BC is a medical physician assistant in Norwood, MA with 11 years of experience. Ed Fortune Aguilos Mangio, AGNP-BC NPI is 1659700599. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

800 WASHINGTON ST
NORWOOD, MA
ZIP 02062-487
Phone: (781) 278-6260

The NPI 1659700599 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/1/2013 and was last updated on 12/3/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	COA.15334	OHIO	No
2	363LA2200X	Nurse Practitioner	Adult Health	110868	OKLAHOMA	No
3	363AM0700X	Physician Assistant	Medical	2304159	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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