Manfredi, Michael A
Manfredi, Michael A is an individual health care provider with primary practice located at 3401 Civic Center Blvd , Philadelphia PA 19104-4319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Manfredi, Michael A can be contacted via phone (617) 833-5824.Contact Information
Primary practice address
3401 Civic Center Blvd
Philadelphia PA 19104-4319
Phone: (617) 833-5824
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | MD478164 | Pennsylvania |
Profile Details
| NPI number | 1851362859 |
|---|---|
| LBN Legal business name | Manfredi, Michael A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2006 |
| Last updated | Oct 25th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851362859 | NPPES |
| Massachusetts | Other | J29198 | BLUE CROSS |
| Massachusetts | Other | 0035990 | BLUE CROSS |
| Massachusetts | Other | 470479 | BLUE CROSS |
| Massachusetts | MEDICAID | 2110393 | BLUE CROSS |
| Massachusetts | Other | AA40201 | BLUE CROSS |
Popular Providers
-
Blanco, David A
Erie Ave At Fron St - Scpa Gastroenterology Nelson Pavilion Ste 2045, Philadelphia PA 19134 -
Diamond, Gayle Horvitz
3401 Civic Center Blvd Childrens Hospital Of Philadelphia, Philadelphia PA 19104-4319 -
Prout, Elizabeth Parks
3401 Civic Center Blvd Children'S Hospital Of Phila - Gastro & Nutrition, Philadelphia PA 19104-4319 -
Fusillo, Steven Joseph
3401 Civic Center Blvd Division Of Gastroenterology, Philadelphia PA 19104 -
Ghanem, Louis
3401 Civic Center Blvd Children'S Hospital Of Philadelphia, Philadelphia PA 19104-4319 -
Albenberg, Lindsey G.
3401 Civic Center Blvd Children'S Hospital Of Philadelphia - Gastroenterology, Philadelphia PA 19104-4319 -
Goh, Vi Lier
3401 Civic Center Blvd , Philadelphia PA 19104-4319 -
Bales, Christina
3401 Civic Center Blvd Children'S Hospital Of Phila - Gastro & Nutrition, Philadelphia PA 19104-4319