Individual
CHRISTOPHER ROBERT MANZELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-2725
Mailing address
230 BROADWAY APT 2E, SOMERVILLE, MA 02145-3010
(585) 820-2079
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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