Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | OS003466L | PA |
NPI | 1568545994 |
---|---|
Provider Name | Dr. Michael L Mansi |
First Address | Havertown, PA 19083-3509 |
Second Address | Havertown, PA 19083-3509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2006 |
Last Update Date | 08/07/2007 |