Individual
JOHN MENIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 W END RD, HANOVER TOWNSHIP, PA 18706-5448
(570) 208-4035
(570) 208-4038
Mailing address
610 WYOMING AVE, KINGSTON, PA 18704-3702
(570) 288-5441
(570) 288-5842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD025340E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000913410
—
PA
Enumeration date
06/23/2006
Last updated
10/06/2014
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