Healthcare Provider Details

I. General information

NPI: 1467538942
Provider Name (Legal Business Name): JOHN M MANUBAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 SHILLINGTON RD
READING PA
19608-1732
US

IV. Provider business mailing address

4400 PENN AVE
SINKING SPRING PA
19608-8621
US

V. Phone/Fax

Practice location:
  • Phone: 484-658-6500
  • Fax: 484-822-9440
Mailing address:
  • Phone: 610-670-2522
  • Fax: 610-670-7736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD053047L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: