MEDICARE: MANZELLA FAMILY HEALTHCARE PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1753980	OTHER	PA	BLUE CROSS/ BLUE SHIELD
2	50056259	OTHER	PA	CAPITAL BLUE CROSS

General Provider Information

NPI Number	:	1053398826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANZELLA FAMILY HEALTHCARE PC

Provider Business Mailing Address
First Line	:	1353 STATE ROUTE 903
Second Line	:
City	:	JIM THORPE
State	:	PA
Zip	:	18229-2734
Country	:	US
Telephone Number	:	570-325-8393
Fax Number	:	570-325-8029

Provider Business Practice Location Address
First Line	:	1353 STATE ROUTE 903
Second Line	:
City	:	JIM THORPE
State	:	PA
Zip	:	18229-2734
Country	:	US
Telephone Number	:	570-325-8393
Fax Number	:	570-325-8029

Authorized Official
Title or Position	:	OWNER
Name	:	VICTOR A MANZELLA
Credential	:	MD
Telephone Number	:	570-325-8393

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	04/04/2013

Similar Medicare Providers

1205810876 — MR. VICTOR A MANZELLA MD
Practice Location Address:

1353 STATE ROUTE 903
JIM THORPE, PA
18229-2734

Practice Phone: 570-325-8393
Practice Fax: 570-325-8029

1225012891 — MR. JOHN R MANZELLA JR. DO
Practice Location Address:

1353 STATE ROUTE 903
JIM THORPE, PA
18229-2734

Practice Phone: 570-325-8393
Practice Fax: 570-325-8029

1962487264 — MR. EDWARD D MANZELLA MD
Practice Location Address:

1353 STATE ROUTE 903
JIM THORPE, PA
18229-2734

Practice Phone: 570-325-8393
Practice Fax: 570-325-8029

1164123972 — LEHIGH VALLEY PHYSICIAN GROUP
Practice Location Address:

1353 STATE ROUTE 903
JIM THORPE, PA
18229-2734

Practice Phone: 570-325-8393
Practice Fax: 570-325-8029

1780676965 — JOHN LALOR JOYCE INC
Practice Location Address:

422 CENTER ST
JIM THORPE, PA
18229-1406

Practice Phone: 570-325-2787
Practice Fax: 570-325-8795

1568453652 — NANCY LEIGH DOMBROSKY PHRN
Practice Location Address:

1491 CENTER AVE
JIM THORPE, PA
18229-1009

Practice Phone: 570-325-9972
Practice Fax:

Directions to “MANZELLA FAMILY HEALTHCARE PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.