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NPI Code Detail

MEDICARE: BRUNO V. MANNO JR. M.D.

MEDICARE: BRUNO V. MANNO JR. M.D.
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
1207RC0000XCardiovascular Disease PhysicianMD024403EPA
2207RC0000XCardiovascular Disease Physician291940NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396748257
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRUNO V. MANNO JR. M.D.
Provider Business Mailing Address
First Line : 261 OLD YORK RD
Second Line : SUITE 724
City : JENKINTOWN
State : PA
Zip : 19046-3706
Country : US
Telephone Number : 215-671-4280
Fax Number : 215-464-9034
Provider Business Practice Location Address
First Line : 555 MADISON AVE FL 2
Second Line :
City : NEW YORK
State : NY
Zip : 10022-3418
Country : US
Telephone Number : 646-754-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 06/15/2023

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