Individual
DR. JAMES WARREN MANSBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10663 RAYSTOWN RD, SUITE B, HUNTINGDON, PA 16652-7542
(814) 627-0071
(814) 627-0315
Mailing address
10663 RAYSTOWN RD, SUITE B, HUNTINGDON, PA 16652-7542
(814) 627-0071
(814) 627-0315
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0S010062L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001543462
BLUE SHIELD
PA
05
—
0018492240004
—
PA
Enumeration date
08/16/2005
Last updated
07/08/2007
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