Individual
MARC JOSEPH MANCINELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
215 HOLLAND ST, ERIE, PA 16507-1526
(814) 877-3018
(814) 877-7469
Mailing address
215 HOLLAND ST, ERIE, PA 16507-1526
(814) 877-3018
(814) 877-7469
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OS014383
PA
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
OS014383
PA
Other
Enumeration date
03/24/2009
Last updated
06/04/2016
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