Individual
DR. ALEXANDER MANTEGHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-8915
(215) 427-4603
Mailing address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-8915
(215) 427-4603
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
20A14339
CA
207Y00000X
Otolaryngology Physician
Primary
OS017821
PA
207Y00000X
Otolaryngology Physician
OT014251
PA
Other
Enumeration date
06/05/2011
Last updated
01/07/2018
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