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Individual

BETH MANIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6001 RIDGE AVE, PHILADELPHIA, PA 19128
(215) 487-2260
(215) 487-7658
Mailing address
101 E OLNEY AVE, 400, PHILADELPHIA, PA 19120-2421
(215) 487-7658

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD054053L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015478400006
PA
Enumeration date
02/02/2006
Last updated
02/12/2010
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