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Individual

DR. RICHARD J MANIGLIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
51 N 39TH ST, 2 MYRIN, PHILADELPHIA, PA 19104-2640
(215) 662-8229
Mailing address
51 N 39TH ST, 2 MYRIN, PHILADELPHIA, PA 19104-2640
(215) 662-8229

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD044646L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0014362890003
PA
Enumeration date
06/30/2006
Last updated
09/19/2019
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