Dr. Patrick Johannes Mansky
Medical Oncology Pediatric Hematology-Oncologist
1562 Opossumtown Pike
Frederick
, Maryland 21702-4337
Dr. Patrick Johannes Mansky
Medical Oncology Pediatric Hematology-Oncologist
1562 Opossumtown Pike
Frederick
, Maryland 21702-4337
(301) 662-4293
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About
Features
Specialties
- Medical Oncology
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Dr. Patrick Johannes Mansky
- 1562 Opossumtown Pike
- Frederick, MD
- Zip : 21702-4337
- Fax : (301) 662-4293
- Phone : (301) 662-8477
Second Address
- Dr. Patrick Johannes Mansky
- 1562 Opossumtown Pike
- Frederick, MD
- Zip : 21702-4337
- Phone : (301) 662-8477
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RX0202X | Medical Oncology | 52362 | WI |
| Y | 207RX0202X | Medical Oncology | D0051559 | MD |
| N | 2080P0207X | Pediatric Hematology-Oncologist | 52362 | WI |
| N | 2080P0207X | Pediatric Hematology-Oncologist | D0051559 | MD |
National Provider Identifier
| NPI | 1013931526 |
|---|---|
| Provider Name | Dr. Patrick Johannes Mansky |
| First Address | Frederick, MD 21702-4337 |
| Second Address | Frederick, MD 21702-4337 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2006 |
| Last Update Date | 13/05/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I08739 | (02) | MD |
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.