Healthcare Provider Details

I. General information

NPI: 1780679217
Provider Name (Legal Business Name): MANSER MEDICAL ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 E FRONT ST
FLORENCE NJ
08518-1412
US

IV. Provider business mailing address

216 E FRONT ST
FLORENCE NJ
08518-1412
US

V. Phone/Fax

Practice location:
  • Phone: 609-499-0800
  • Fax: 609-499-1055
Mailing address:
  • Phone: 609-499-0800
  • Fax: 609-499-1055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: HARRY E MANSER JR.
Title or Position: CEO
Credential: DO
Phone: 609-499-0800