Individual
DR. AMANDA R. MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
425 E 1ST ST, STE 201, BLOOMSBURG, PA 17815-1480
(570) 416-1816
(570) 416-1810
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS009091L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015773300004
—
PA
Enumeration date
03/31/2006
Last updated
08/05/2020
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