Individual
FERDINAND J MANAHAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
239 PENN AVENUE FORUM PLAZA, SCRANTON, PA 18503
(570) 346-6170
(570) 346-2575
Mailing address
239 PENN AVENUE FORUM PLAZA, SCRANTON, PA 18503
(570) 346-6170
(570) 346-2575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD043284E
PA
207RN0300X
Nephrology Physician
MD043284E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0669043
MEDICAL ASSISTANCE
PA
05
—
1165195
—
PA
01
—
38078
GEISINGER HEALTH PLAN
PA
01
—
440302
FIRST PRIORITY
PA
01
—
505518
AETNA
—
Enumeration date
01/10/2006
Last updated
09/11/2025
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