Organization
MANSTEIN SURGICAL ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ERIC MANSTEIN MD (OWNER)
(215) 379-5700
Entity
Organization
Contact information
Practice address
821 HUNTINGDON PIKE, SUITE 120, HUNTINGDON VALLEY, PA 19006-8365
(215) 379-5700
(215) 379-2520
Mailing address
821 HUNTINGDON PIKE, SUITE 120, HUNTINGDON VALLEY, PA 19006-8365
(215) 379-5700
(215) 379-2520
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052464000
KEYSTONE
PA
05
—
111102201
—
PA
Enumeration date
06/13/2006
Last updated
07/09/2010
Update your record
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