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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
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