Individual
GEORGE MANJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
430 NAZARETH PIKE, NAZARETH, PA 18064
(610) 365-2300
(610) 365-8363
Mailing address
430 NAZARETH PIKE, NAZARETH, PA 18064-9615
(610) 365-2300
(610) 265-8363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD058653L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016155750004
—
PA
01
—
885135
HIGHMARK BS OF PA
PA
Enumeration date
08/15/2005
Last updated
01/09/2014
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