Individual
CHARLES J MANFRESCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
920 N HAMILTON RD, GAHANNA, OH 43230-1757
(614) 293-2614
(614) 293-7001
Mailing address
920 N HAMILTON RD, GAHANNA, OH 43230-1757
(614) 293-2614
(614) 293-7001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34004423
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0722418
—
OH
Enumeration date
04/07/2006
Last updated
02/28/2011
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