Peter Manga

NPI 1073888384 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1073888384
Gender Male
Enumeration Date 03/20/2012
Last Updated 03/20/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
2146 S BROAD ST
2FLOOR
PHILADELPHIA PA, 19145-3905, US
Phone (267) 519-0672
Fax
Business Location
2146 S BROAD ST
2FLOOR
PHILADELPHIA PA, 19145-3905, US
Phone (267) 519-0672
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Pennsylvania
License Number PN289972
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According to our database, Mr. Peter Manga NPI is 1073888384, taxonomy code is 164W00000X and license number is PN289972, license state is located at Pennsylvania. Peter Manga physically located at 2146 S Broad St, Philadelphia PA, 19145-3905. NPI Number Peter Manga has the Individual type.

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1073888384 NPI number is provided on an as is basis without warranty of any kind. 1073888384 is maintained by the National Plan & Provider Enumeration System. The contents of Peter Manga are for informational purposes only.