Organization
STANLEY C. MANNINO, M.D., INC.
Active
Organization
STANLEY C. MANNINO, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY C MANNINO M.D. (M.D.)
(304) 723-3360
Entity
Organization
Contact information
Practice address
485 COLLIERS WAY, SUITE K, WEIRTON, WV 26062-5012
(304) 723-3360
(304) 723-0569
Mailing address
485 COLLIERS WAY, SUITE K, WEIRTON, WV 26062-5012
(304) 723-3360
(304) 723-0569
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
13828
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001164895-0006
—
PA
05
—
0084201000
—
WV
05
—
0207532000
—
WV
05
—
102111709-0001
—
PA
01
—
1356503486
DARLENE SPERLAZZA, RN MSN FNP-BC
—
05
—
2414113
—
OH
05
—
2450600
—
OH
Enumeration date
04/17/2007
Last updated
01/14/2010
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