Individual
DR. BONITA M MANCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
440 PIERCE ST, KINGSTON, PA 18704-5500
(570) 288-6521
(570) 288-8284
Mailing address
440 PIERCE ST, KINGSTON, PA 18704-5500
(570) 288-6521
(570) 288-8284
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD022345E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000266747
UNISON
PA
01
—
000084470
HIGHMARK
PA
05
—
001398160-0003
—
PA
05
—
0013981600001
—
PA
01
—
824196
FIRST PRIORITY HEALTH
PA
Enumeration date
03/02/2006
Last updated
01/10/2012
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