Dr. Simone Alexander Manigault
MD | Pediatrics | Female
Dr. Simone Alexander Manigault, MD is a Newark, New Jersey based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Simone Alexander Manigault is
741 Broadway, Newark, New Jersey - 07104-4309. She can be contacted on phone at
973-483-1300.
Dr. Simone Alexander Manigault is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Simone Alexander Manigault is
1417039132 which was assigned by NPPES on 20 Oct, 2006 and it was last updated on 13 Dec, 2018.
Dr. Simone Alexander Manigault license number is
25MA08139400 for Pediatrics (208000000X) in New Jersey.
Dr. Simone Alexander Manigault is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Simone Alexander Manigault basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Simone Alexander Manigault |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Simone Alexander Manigault address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 741 Broadway
Newark, NJ, 07104-4309
United States |
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| Phone Number : | 973-483-1300 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1417039132 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Oct, 2006 |
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| Last Updated On : | 13 Dec, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Simone Alexander Manigault are as mentioned. Primary taxonomy code for Dr. Simone Alexander Manigault, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 25MA08139400 | NJ |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Simone Alexander Manigault such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0115045 | MEDICAID | NJ | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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275 HOBART ST,
PERTH AMBOY, NJ, 08861-3396
United States | PERTH AMBOY, NJ | 732-376-9333 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 741 Broadway
Newark, NJ, 07104-4309
United States |
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| Phone Number : | 973-483-1300 |
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| Fax Number : | 973-676-1396 |
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Business Location:
Patients can refer following map for directions to
Dr. Simone Alexander Manigault practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.