Individual
DR. JAMES M MINNELLA
Active
Individual
DR. JAMES M MINNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD037643
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007456820006
—
PA
01
—
0033020000
KHPE
PA
01
—
1238929
AETNA HMO
PA
01
—
17087
BLUE SHIELD
PA
01
—
30034525
KMHP
PA
Enumeration date
01/11/2006
Last updated
05/07/2008
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