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Individual
DR. CHARLES M MANGANIELLO
Active
Individual
DR. CHARLES M MANGANIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD037791L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001216
FIRST PRIORITY HEALTH
PA
05
—
0013919460001
—
PA
01
—
020338000
BLACK LUNG
PA
01
—
024946
HIGHMARK BLUE SHIELD
PA
01
—
14821 E222
GEISINGER HEALTH PLAN
PA
Enumeration date
07/08/2005
Last updated
03/25/2020
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