Individual
ELY MANSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2601 HOLME AVE, PHILADELPHIA, PA 19152-2096
(215) 335-6000
Mailing address
315 N 12TH ST APT 802, PHILADELPHIA, PA 19107-1225
(215) 908-4994
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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