| Manzella Family Healthcare Pc | |
|
1353 State Route 903 Jim Thorpe PA 18229-2734 | |
| (570) 325-8393 | |
| (570) 325-8029 |
| Full Name | Manzella Family Healthcare Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1353 State Route 903, Jim Thorpe, Pennsylvania |
| Authorized Official Name and Position | Victor A Manzella (OWNER) |
| Authorized Official Contact | 5703258393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manzella Family Healthcare Pc 1353 State Route 903 Jim Thorpe PA 18229-2734 Ph: (570) 325-8393 | Manzella Family Healthcare Pc 1353 State Route 903 Jim Thorpe PA 18229-2734 Ph: (570) 325-8393 |
| NPI Number | 1053398826 |
|---|---|
| Provider Enumeration Date | 12/22/2005 |
| Last Update Date | 04/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053398826 | NPI | - | NPPES |
| 1753980 | Other | PA | BLUE CROSS/ BLUE SHIELD |
| 50056259 | Other | PA | CAPITAL BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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