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MR. SALVATORE MANZELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(410) 955-6146
Mailing address
8408 ADLER CT, MILLERSVILLE, MD 21108-1771
(202) 373-5840
(412) 729-5060

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006469
VA
363A00000X
Physician Assistant
C06998
MD

Other

Enumeration date
06/13/2018
Last updated
09/14/2021
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