Erin P Mantilla in Allentown - Medical

Erin P Mantilla - NPI 1154505485

Erin P Mantilla is a Medical in Allentown, Pennsylvania. Erin P Mantilla practices all healthcare services and medical treatments related to Medical. The NPI Number for Erin P Mantilla is 1154505485. The last update date is 2015-12-18.

Erin P Mantilla's current location address is 1250 S Cedar Crest Blvd, Allentown, Pennsylvania. You can contact this provider via phone number 6104028430. The mailing address for Erin P Mantilla is 1250 S Cedar Crest Blvd, Allentown, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Erin P Mantilla
Address 1250 S Cedar Crest Blvd, Allentown, Pennsylvania
Phone Number 6104028430
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1154505485
Provider Enumeration Date 2007-12-21
Last Updated Date 2015-12-18

Provider Mailing Address Detail

Address 1250 S Cedar Crest Blvd
City Allentown
State Pennsylvania (PA)
Post Code 181036224
Phone Number 6104028430
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No MA053283
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Erin P Mantilla

What is the unique identifier code issued to Erin P Mantilla by the Centers for Medicare & Medicaid Services (CMS)?

The Erin P Mantilla has been assigned the NPI (National Provider Identifier) 1154505485. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Erin P Mantilla is physically located?

The Erin P Mantilla is situated at the following address: 1250 S Cedar Crest Blvd, Allentown, PA 181036224.

What is Erin P Mantilla's specialized field of practice, and what is the corresponding taxonomy classification code?

The Erin P Mantilla's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1154505485 to Erin P Mantilla?

The Centers for Medicare & Medicaid Services originally issued the 1154505485 to Erin P Mantilla on 2007-12-21.

As of what date were the details related to Erin P Mantilla most recently updated or revised?

The information pertaining to Erin P Mantilla, including its address, specialty, and other relevant details, was last updated or revised on 2015-12-18.

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