Individual
JOHN PAUL MANZELLA
Active
Individual
JOHN PAUL MANZELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD022043E
PA
207RI0200X
Infectious Disease Physician
MD022043-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000647467
—
PA
01
—
033269
JOHNS HOPKINS
PA
01
—
093834
HIGHMARK BLUE SHIELD
PA
01
—
1523365
GATEWAY-WMG
PA
01
—
34515
GEISINGER
PA
01
—
4401108
AETNA
PA
Enumeration date
11/23/2005
Last updated
05/09/2012
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