DR. Charles M Manganiello, M.D.

NPI #1861490310 in Duryea, Pennsylvania

Provider Information

NPI Number: 1861490310
Entity Type: Individual
Name: DR. Charles M Manganiello, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Jul 8, 2005
Last Updated: Mar 25, 2020

Practice Location

Address: 605 MAIN ST
City: Duryea
State: Pennsylvania
ZIP Code: 18642-1325
Phone: (570) 457-1110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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