MR. Oswaldo Giovanni Tagle Manrique, PA-C
NPI #1063057040 in Allentown, Pennsylvania
Provider Information
- NPI Number
- 1063057040
- Entity Type
- Individual
- Name
- MR. Oswaldo Giovanni Tagle Manrique, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Nov 13, 2019
- Last Updated
- Feb 4, 2025
Practice Location
- Address
- 1575 POND RD STE 203
- City
- Allentown
- State
- Pennsylvania
- ZIP Code
- 18104-2254
- Phone
- (610) 366-1366
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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