Basic Information
| Provider Information | |||||||||
| NPI: | 1780679217 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MANSER MEDICAL ASSOCIATES PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 216 E FRONT ST | ||||||||
| Address2: | |||||||||
| City: | FLORENCE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 085181412 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6094990800 | ||||||||
| FaxNumber: | 6094991055 | ||||||||
| Practice Location | |||||||||
| Address1: | 216 E FRONT ST | ||||||||
| Address2: | |||||||||
| City: | FLORENCE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 085181412 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6094990800 | ||||||||
| FaxNumber: | 6094991055 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/12/2005 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | MANSER | ||||||||
| AuthorizedOfficialFirstName: | HARRY | ||||||||
| AuthorizedOfficialMiddleName: | E | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 6094990800 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNameSuffix: | JR. | ||||||||
| AuthorizedOfficialCredential: | DO | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.