Individual provider · Type 1 NPI
Charles M. Manganiello, MD
General Practice Physician · Duryea, PA
NPI number
1861490310
Active
Practice location
605 Main St
Duryea, PA 18642-1325
Mailing address
PO Box 1388
Kingston, PA 18704-0379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | MD037791L (PA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
3 other providers at this address
About NPI 1861490310
Charles M. Manganiello, MD's National Provider Identifier is 1861490310, issued on Jul 8, 2005. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Duryea, PA. The record was last updated on Mar 25, 2020.