Doctor Name: | MARK ERIC MANSTEIN |
NPI Number: | 1033168729 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD022257E |
Business Practice Address: | 821 Huntingdon Pike Suite 120 Huntingdon Valley, PA - 190068365 |
Business Phone Number: | 2153795700 |
Business Fax Number: | 2153792520 |
Mailing Address: | 821 Huntingdon Pike, Suite 120 HUNTINGDON VALLEY |
State: | PA |
Postal Code: | 190068365 |
Phone Number: | 2153795700 |
Fax Number: | 2153792520 |
NPI Enumeration Date: | 05/09/2006 |
NPI Last Update Date: | 04/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | MD022257E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |