Mancuso, Christopher J

Mancuso, Christopher J is an individual health care provider with primary practice located at 301 S 7Th Ave Suite 3220, West Reading PA 19611-1410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Mancuso, Christopher J can be contacted via phone (610) 376-8671.

Contact Information

Primary practice address
301 S 7Th Ave Suite 3220 West Reading PA 19611-1410
Phone: (610) 376-8671
Fax: (610) 376-6387
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD059819L Pennsylvania

Profile Details

NPI number 1568464378
LBN Legal business name Mancuso, Christopher J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Sep 11th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568464378 NPPES
Pennsylvania Other 01925801 CAPITAL BLUE CROSS
Pennsylvania Other MA561226 CAPITAL BLUE CROSS
Pennsylvania MEDICAID 0018225700001 CAPITAL BLUE CROSS

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