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Individual

MARK ERIC MANSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
821 HUNTINGDON PIKE, SUITE 120, HUNTINGDON VALLEY, PA 19006-8365
(215) 379-5700
(215) 379-2520
Mailing address
821 HUNTINGDON PIKE, SUITE 120, HUNTINGDON VALLEY, PA 19006-8365
(215) 379-5700
(215) 379-2520

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD022257E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005249000
KEYSTONE
PA
05
1027199
PA
01
50443
AETNA
PA
Enumeration date
05/09/2006
Last updated
04/02/2015
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