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Individual

ALEXANDRA MANINGAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 N ACADEMY AVE # MC27-70, DANVILLE, PA 17822-9800
(570) 214-2403
Mailing address
100 N ACADEMY AVE # MC27-70, DANVILLE, PA 17822-9800
(570) 214-2403

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
614130
TX

Other

Enumeration date
04/13/2022
Last updated
06/15/2023
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