| Mr John R Manzella Jr, DO | |
|
1353 State Route 903, Jim Thorpe, PA 18229-2734 | |
| (570) 325-8393 | |
| (570) 325-8029 |
| Full Name | Mr John R Manzella Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1353 State Route 903, Jim Thorpe, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225012891 | NPI | - | NPPES |
| 0314295000 | Other | PERSONAL BLUE SHIELD | |
| 03197301 | Other | CAPITAL BLUE CROSS | |
| 010054200 | Other | BLACK LUNG | |
| 5389099 | Other | AETNA | |
| 001780247 | Medicaid | PA | |
| 176513 | Other | PA | BLUE SHIELD |
| 2968846 | Other | GHI | |
| 20031252 | Other | AMERIHEALTH MERCY | |
| P00600418 | Other | PA | PALMETTO |
| 1753980 | Other | FEDERAL BLUE SHIELD | |
| 176513 | Other | AMERIHEALTH ADMIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS010263L (Pennsylvania) | Primary |
| 208000000X | Pediatrics | OS010263L (Pennsylvania) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John R Manzella Jr, DO 1353 State Route 903, Jim Thorpe, PA 18229-2734 Ph: (570) 325-8393 | Mr John R Manzella Jr, DO 1353 State Route 903, Jim Thorpe, PA 18229-2734 Ph: (570) 325-8393 |
Mr. Victor A Manzella, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1353 State Route 903, Jim Thorpe, PA 18229 Phone: 570-325-8393 Fax: 570-325-8029 | |
Mr. Edward D Manzella, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1353 State Route 903, Jim Thorpe, PA 18229 Phone: 570-325-8393 Fax: 570-325-8029 |