Individual
MANJUSHA RENTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25 CHURCH ST, WILKES BARRE, PA 18702-3507
(570) 808-3100
(570) 808-2539
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 808-3100
(570) 808-2539
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD062516L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G851680
—
CA
Enumeration date
08/11/2006
Last updated
08/15/2025
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