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Individual

ANTHONY J MANNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C, MS

Contact information

Practice address
25 SPRINT DR, CARLISLE, PA 17015-7696
(717) 960-3750
(717) 960-3734
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612
(717) 724-6780
(717) 724-6781

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA058361
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1007307260063
DHS GROUP #
PA
05
103193226
PA
01
867633
MEDICARE GROUP #
PA
Enumeration date
08/02/2016
Last updated
01/28/2021
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