Provider Demographics
NPI:1275913386
Name:MANNO, FRANK
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:MANNO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 WALNUT TER
Mailing Address - Street 2:
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-3063
Mailing Address - Country:US
Mailing Address - Phone:973-900-4472
Mailing Address - Fax:
Practice Address - Street 1:6 WALNUT TER
Practice Address - Street 2:
Practice Address - City:EAST HANOVER
Practice Address - State:NJ
Practice Address - Zip Code:07936-3063
Practice Address - Country:US
Practice Address - Phone:973-900-4472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-03
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program