Dr. Philip Manasseh, MD
Internal Medicine in Wynnewood, PA. Individual provider (NPI-1).
NPI number1316562002
StatusActive
Last updated in NPPESDec 8, 2023
Details
- NPI
- 1316562002
- Entity type
- Individual (NPI-1)
- Name
- Dr. Philip Manasseh
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 9, 2020
- Certification date
- Dec 8, 2023
- Last updated
- Dec 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MT221028 | PA | Yes |
Practice location
100 E Lancaster Ave Ste 4303Wynnewood, PA 19096-3450
Phone 484-476-6421
Mailing address
3803 W Chester Pike Ste 160Newtown Square, PA 19073-2336
Phone 484-377-1667
Other practice locations
5501 Old York Rd
Philadelphia, PA 19141-3018
Philadelphia, PA 19141-3018
Phone 215-456-8520
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