Organization
SOUTH OLDS MEDI-CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MANNINO M.D. (OWNER)
(215) 945-8400
Entity
Organization
Contact information
Practice address
1 SUGARMAPLE LN, LEVITTOWN, PA 19055-2007
(215) 945-8400
(215) 945-9368
Mailing address
1 SUGARMAPLE LN, LEVITTOWN, PA 19055-2007
(215) 945-8400
(215) 945-9368
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD 040286-L
PA
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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