Individual
DR. ANNETTE MARIE MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
700 E BROAD ST, HAZLETON, PA 18201-6835
(570) 501-4193
(570) 501-4109
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS008491L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010836640001
—
PA
Enumeration date
02/17/2006
Last updated
07/12/2016
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