Individual
COLLEEN MANZELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
330 N BEST AVE, WALNUTPORT, PA 18088-1205
(610) 760-8080
(610) 760-8148
Mailing address
623 E BROAD ST, 2ND FLR, BETHLEHEM, PA 18018-6332
(610) 954-6048
(610) 954-3189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS010211L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017384950004
—
PA
Enumeration date
09/16/2006
Last updated
02/19/2014
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