# BONITA M MANCIA M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720256043
- **Authorized official:** BONITA M MANCIA M.D. (PHYSICIAN)
- **Authorized official phone:** (570) 288-6521

## Contact information

- **Practice address:** 676 WYOMING AVE, KINGSTON, PA 18704-3857
- **Practice address phone:** (570) 288-6521
- **Mailing address:** 676 WYOMING AVE, KINGSTON, PA 18704-3857
- **Mailing address phone:** (570) 288-6521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD022345E | PA | Yes |

## Other

- **Enumeration date:** 02/20/2008
- **Last updated:** 02/20/2008