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NPI Code Detail

MEDICARE: DR. CARMINE LAMANTIA DO

MEDICARE: DR. CARMINE LAMANTIA DO
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
1390200000XStudent in an Organized Health Care Education/Training ProgramPA

General Provider Information

NPI Number : 1598603276
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARMINE LAMANTIA DO
Provider Business Mailing Address
First Line : 9755 SUSAN RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19115-2918
Country : US
Telephone Number : 724-762-3875
Fax Number :
Provider Business Practice Location Address
First Line : 100 E LANCASTER AVE
Second Line :
City : WYNNEWOOD
State : PA
Zip : 19096-3450
Country : US
Telephone Number : 484-476-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ DR. CARMINE LAMANTIA DO” Practice Location

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