Healthcare Provider Details

I. General information

NPI: 1245685700
Provider Name (Legal Business Name): MANASWENEE RATH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2016
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date: 12/30/2016
Reactivation Date: 03/09/2017

III. Provider practice location address

4200 HOSPITAL RD
COAL TOWNSHIP PA
17866-9668
US

IV. Provider business mailing address

100 N ACADEMY AVE
DANVILLE PA
17822-4903
US

V. Phone/Fax

Practice location:
  • Phone: 570-214-9585
  • Fax: 570-214-9519
Mailing address:
  • Phone: 570-271-6144
  • Fax: 570-271-6578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number339325
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: