Individual
JOSE D MANALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 PENNSYLVANIA AVE, SUITE 1A, WILMINGTON, DE 19806-1392
(302) 655-0355
(302) 655-4833
Mailing address
2300 PENNSYLVANIA AVE, SUITE 1A, WILMINGTON, DE 19806-1392
(302) 655-0355
(302) 655-4833
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C1-0D01000
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000129806
—
DE
Enumeration date
06/08/2006
Last updated
07/08/2007
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