Individual
MR. EDWARD D MANZELLA
Active
Individual
MR. EDWARD D MANZELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD047252L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001442722
—
PA
01
—
010654900
BLACK LUNG
—
01
—
0274540000
PERSONAL CHOICE BLUE SHIE
—
01
—
03277800
CAPITAL BLUE CROSS GROUP
—
01
—
03277901
CAPITAL BLUE CROSS
—
01
—
110101
AMERIHEALTH ADMIN
—
01
—
1753980
FEDERAL BLUE SHIELD
—
01
—
20031254
AMERIHEALTH MERCY
—
01
—
2420346000
PERSONAL CHOICE BLUE SHIE
—
01
—
5389099
AETNA
—
01
—
6002088
GHI
—
01
—
810651818
COVENTRY HEALTH
—
01
—
P00387554
PALMETTO GBA GROUP
PA
Enumeration date
12/08/2005
Last updated
03/29/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up