Individual
JOSE M MANJON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 LONDONDERRY RD STE 305, HARRISBURG, PA 17109-5317
(717) 724-6788
(717) 730-0099
Mailing address
4300 LONDONDERRY RD STE 305, HARRISBURG, PA 17109-5317
(717) 791-2960
(717) 791-2961
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD035254E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001057812
—
PA
Enumeration date
09/19/2005
Last updated
04/24/2024
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