Individual
JENNA MANCINELLI
Active
Individual
JENNA MANCINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MB11910100
NJ
208600000X
Surgery Physician
OS019397
PA
2086X0206X
Surgical Oncology Physician
Primary
25MB11910100
NJ
2086X0206X
Surgical Oncology Physician
OS019397
PA
Other
Enumeration date
04/07/2016
Last updated
09/27/2024
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