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JOHN MANENTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
5533 MAHONING AVE FL 2, AUSTINTOWN, OH 44515-2366
(330) 793-2707
Mailing address
5700 DARROW RD, SUITE 106, HUDSON, OH 44236-5021
(330) 656-5911
(330) 656-5901

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34004777
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000349348
ANTHEM
OH
01
000000383091
ANTHEM
OH
01
000000385522
ANTHEM
OH
01
000000385524
ANTHEM
OH
01
001390546-0001
PENNSYLVANIA MEDICAID
OH
05
0748481
OH
01
P00319483
RAILROAD MEDICARE
OH
Enumeration date
12/28/2005
Last updated
07/01/2022
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