Dr. Domenic Michael Mantella
Family Doctor Family Doctor - Sports Medicine
1500 Village Run Rd Suite 308
Wexford
, Pennsylvania 15090-6316
Dr. Domenic Michael Mantella
Family Doctor Family Doctor - Sports Medicine
1500 Village Run Rd Suite 308
Wexford
, Pennsylvania 15090-6316
(724) 934-1900
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Domenic Michael Mantella
- 1500 Village Run Rd Suite 308
- Wexford, PA
- Zip : 15090-6316
- Phone : (724) 934-1900
Second Address
- Dr. Domenic Michael Mantella
- 1500 Village Run Rd Suite 308
- Wexford, PA
- Zip : 15090-6316
- Phone : (724) 934-1900
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Is Dr. Domenic Michael Mantella a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | MD439686 | PA |
| N | 207QS0010X | Family Doctor - Sports Medicine | MD439686 | PA |
National Provider Identifier
| NPI | 1326273392 |
|---|---|
| Provider Name | Dr. Domenic Michael Mantella |
| First Address | Wexford, PA 15090-6316 |
| Second Address | Wexford, PA 15090-6316 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/05/2009 |
| Last Update Date | 21/02/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.