Individual
MICHAEL A MANFREDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(617) 833-5824
Mailing address
10 W PROSPECT AVE, MOORESTOWN, NJ 08057-3522
(617) 833-5824
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD478164
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035990
NEIGHBORHOOD HEALTH
MA
05
—
2110393
—
MA
01
—
470479
TUFTS
MA
01
—
AA40201
HARVARD PILGRIM
MA
01
—
J29198
BLUE CROSS
MA
Enumeration date
01/28/2006
Last updated
10/25/2023
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