Individual
DR. JAMES M MINNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
831 PROVIDENCE RD, SECANE, PA 19018-2921
(610) 284-4854
(610) 284-4811
Mailing address
1 W ELM ST, 2ND FLOOR, CONSHOHOCKEN, PA 19428-2007
(610) 567-6964
(610) 567-6170
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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