Mary C. Mancao MD
Pediatric Infectious Diseases Physician in Mobile, AL(View on Map)
Full Name
Mary C. Mancao MD
NPI Number
1578517637
NPI Type
Individual Provider
Gender
Female
Enumeration Date
05/20/2006
Specialties
(Taxonomies)Code
2080P0208X
208000000X
Primary Taxonomy
Yes
No
Licenses
State
Alabama
License Number
17261
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 40480
1504 SPRINGHILL AVE
City
Mobile
Mobile
State
AL
AL
Postal Code
36640-0480
36604-3207
Country
US
US
Telephone Number
(251) 470-5842
(251) 405-5147
Identifiers
Identifier
92-10078
00112081
51088377
1115606
51505893
Identifier State
AL
MS
AL
LA
AL
Identifier Issuer
UNITED HEALTH CARE
Unknown
BLUE CROSS
Unknown
BLUE CROSS
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/15/2008
Provider Address
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Benjamin Estrada MD
Mobile, ALSpecialties: Pediatric Infectious Diseases Physician (Primary)Pediatrics Physician
Linda Hassouneh M.D
Mobile, ALSpecialties: Pediatrics Physician (Primary)Pediatric Infectious Diseases PhysicianStudent in an Organized Health Care Education/Training Program