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Individual

DR. WILLIAM J MANNELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 MEDICAL CENTER BLVD, ACP #233, CHESTER, PA 19013-3902
(610) 499-0400
(610) 499-1970
Mailing address
PO BOX 8500-6355, PHILADELPHIA, PA 19178-0001
(610) 497-7520
(610) 497-7525

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD016166E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006985555
PA
Enumeration date
10/11/2006
Last updated
04/01/2009
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