Charles M Manganiello in Duryea - General Practice
Charles M Manganiello - NPI 1861490310
Charles M Manganiello is a General Practice in Duryea, Pennsylvania. Charles M Manganiello practices all healthcare services and medical treatments related to General Practice. The NPI Number for Charles M Manganiello is 1861490310. The last update date is 2020-03-25.
Charles M Manganiello's current location address is 605 Main St, Duryea, Pennsylvania. You can contact this provider via phone number 5704571110. The mailing address for Charles M Manganiello is 605 Main St, Duryea, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles M Manganiello |
|---|---|
| Address | 605 Main St, Duryea, Pennsylvania |
| Phone Number | 5704571110 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1861490310 |
|---|---|
| Provider Enumeration Date | 2005-07-08 |
| Last Updated Date | 2020-03-25 |
Provider Mailing Address Detail
| Address | 605 Main St |
|---|---|
| City | Duryea |
| State | Pennsylvania (PA) |
| Post Code | 1864213250 |
| Phone Number | 5704571110 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | MD037791L |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13919460001 | PA | -- | |
| 1216 | PA | FIRST PRIORITY HEALTH | |
| 24946 | PA | FIRST PRIORITY LIFE INS C | |
| 20338000 | PA | BLACK LUNG | |
| 24946 | PA | HIGHMARK BLUE SHIELD | |
| 14821 E222 | PA | GEISINGER HEALTH PLAN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Charles M Manganiello?
The Charles M Manganiello has been issued the NPI (National Provider Identifier) 1861490310 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Charles M Manganiello is physically located?
The Charles M Manganiello is situated at the following address: 605 Main St, Duryea, PA 1864213250.
What is Charles M Manganiello's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charles M Manganiello's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 208D00000X.
On what date was the 1861490310 assigned to Charles M Manganiello?
The Charles M Manganiello was issued its 1861490310 on 2005-07-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Charles M Manganiello, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Charles M Manganiello, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-03-25.
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