Individual
DR. JESSE ALAN MANTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3075 CLAIRTON RD, WEST MIFFLIN, PA 15123-0021
(412) 655-1988
(412) 653-6460
Mailing address
101 WARWICK DR, UPPER ST CLAIR, PA 15241-2106
(412) 831-0244
(412) 653-6460
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001083
PA
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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