Search › Pennsylvania › 208D00000X
Charles Manganiello, M.D
NPI 1861490310 · on the registry since 2005
Practice
- Address
- 605 Main St
Duryea, PA 18642 - Phone
- (570) 457-1110
- Organisation at this address
- Guy Michael Fasciana Md
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 208D00000X
208D00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-03-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania