Provider Demographics
NPI:1780679217
Name:MANSER MEDICAL ASSOCIATES PC
Entity Type:Organization
Organization Name:MANSER MEDICAL ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:E
Authorized Official - Last Name:MANSER
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:609-499-0800
Mailing Address - Street 1:216 E FRONT ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:NJ
Mailing Address - Zip Code:08518-1412
Mailing Address - Country:US
Mailing Address - Phone:609-499-0800
Mailing Address - Fax:609-499-1055
Practice Address - Street 1:216 E FRONT ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:NJ
Practice Address - Zip Code:08518-1412
Practice Address - Country:US
Practice Address - Phone:609-499-0800
Practice Address - Fax:609-499-1055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty