| Ferdinand J Manahan Md Llc | |
|
239 Penn Ave Scranton PA 18503-1921 | |
| (570) 346-6170 | |
| (570) 346-2575 |
| Full Name | Ferdinand J Manahan Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 239 Penn Ave, Scranton, Pennsylvania |
| Authorized Official Name and Position | Ferdinand J Manahan (SOLE PROPRIETOR) |
| Authorized Official Contact | 5703466170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ferdinand J Manahan Md Llc 239 Penn Ave Scranton PA 18503-1921 Ph: (570) 346-6170 | Ferdinand J Manahan Md Llc 239 Penn Ave Scranton PA 18503-1921 Ph: (570) 346-6170 |
| NPI Number | 1275855264 |
|---|---|
| Provider Enumeration Date | 02/18/2010 |
| Last Update Date | 09/30/2010 |
| Medicare PECOS PAC ID | 3476678020 |
|---|---|
| Medicare Enrollment ID | O20100920000375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275855264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Secondary |
| Provider Name | Ferdinand J Manahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104805126 PECOS PAC ID: 5991820540 Enrollment ID: I20100920000409 |
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