Individual
DR. SAMUEL J MANFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 PRESIDENTIAL BLVD, STE 100, BALA CYNWYD, PA 19004-1017
(610) 667-3020
(610) 667-1817
Mailing address
1 PRESIDENTIAL BLVD, STE 100, BALA CYNWYD, PA 19004-1017
(610) 667-3020
(610) 667-1817
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
OS003582L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008007570007
—
PA
Enumeration date
06/14/2005
Last updated
08/25/2010
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