Ricardo Y Mabanta, MD
Psychiatry & Neurology, Neurology in Marlton, NJ. Individual provider (NPI-1).
NPI number1730130840
StatusActive
Last updated in NPPESOct 10, 2024
Details
- NPI
- 1730130840
- Entity type
- Individual (NPI-1)
- Name
- Ricardo Y Mabanta
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 13, 2006
- Certification date
- Oct 10, 2024
- Last updated
- Oct 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | MA059597 | NJ | Yes |
Practice location
1001 Route 73 N Uppr Level A & Main LevelMarlton, NJ 08053-4524
Phone 856-988-4444 · Fax 856-988-0553
Mailing address
301 Lippincott Dr Ste 410Marlton, NJ 08053-4197
Phone 856-355-0340 · Fax 856-355-0330
Other practice locations
239 Hurffville Crosskeys Rd Ste 480a
Sewell, NJ 08080-4002
Sewell, NJ 08080-4002
Phone 856-988-3444 · Fax 856-988-0553
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