Individual
MICHAEL MANCUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 YORK RD STE 4, JENKINTOWN, PA 19046-2142
(267) 626-2018
(267) 626-2018
Mailing address
274 HIGH ST, NEWTOWN, PA 18940-1454
(215) 359-8224
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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