Individual
DR. THOMAS LOUIS MANZO
Active
Individual
DR. THOMAS LOUIS MANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD-016446-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045453000
KEYSTONE HEALTH PLAN EAST
PA
05
—
0622314
—
PA
01
—
2804
AETNA
PA
01
—
5438468
CIGNA
PA
Enumeration date
08/11/2005
Last updated
02/20/2008
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