Healthcare Provider Details

I. General information

NPI: 1760679948
Provider Name (Legal Business Name): EMMANUEL FREMPONG-MANSO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2007
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 FOX PLAN RD STE 104
MONROEVILLE PA
15146-2723
US

IV. Provider business mailing address

117 FOX PLAN RD STE 104
MONROEVILLE PA
15146-2723
US

V. Phone/Fax

Practice location:
  • Phone: 412-896-4248
  • Fax: 412-896-4271
Mailing address:
  • Phone: 412-973-7120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD430560
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: