Manfrey, Samuel J

Manfrey, Samuel J is an individual health care provider with primary practice located at 1 Presidential Blvd Ste 100, Bala Cynwyd PA 19004-1017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Manfrey, Samuel J can be contacted via phone (610) 667-3020.

Contact Information

Primary practice address
1 Presidential Blvd Ste 100 Bala Cynwyd PA 19004-1017
Fax: (610) 667-1817
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X OS003582L Pennsylvania

Profile Details

NPI number 1669477915
LBN Legal business name Manfrey, Samuel J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Aug 25th, 2010 - about 14 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 1669477915 NPPES
Pennsylvania MEDICAID 0008007570007

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