Organization
DANIEL MANSKE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL D. MANSKE MD (PROPRIETOR)
(856) 459-3500
Entity
Organization
Contact information
Practice address
154 W COMMERCE ST, BRIDGETON, NJ 08302-1806
(856) 459-3500
(856) 459-3600
Mailing address
154 W COMMERCE ST, BRIDGETON, NJ 08302-1806
(856) 459-3500
(856) 459-3600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MAO62223
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01000245802
AMERICHOICE OF NJ NUMBER
NJ
01
—
0543609000
AMERIHEALTH PRACTICE ID
—
01
—
1166159
HNJH PROVIDER NUMBER
NJ
01
—
556198
AETNA PRACTICE ID
—
05
—
6587208
—
NJ
Enumeration date
05/03/2007
Last updated
10/23/2007
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