Individual
MARCOS A MANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 HOWARD AVENUE, STE D204, ALTOONA, PA 16601
(814) 944-2107
(814) 944-6208
Mailing address
501 HOWARD AVENUE, STE D204, ALTOONA, PA 16601
(814) 944-2107
(814) 944-6208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD040296L
PA
207RN0300X
Nephrology Physician
MD040296L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012238600001
—
PA
Enumeration date
10/17/2006
Last updated
04/25/2012
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