Michael A Manfredi Jr.

M.D. | Pediatric Gastroenterology | Male

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Complete Profile:

Michael A Manfredi Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Gastroenterology
Provider Name :	Michael A Manfredi Jr.
Credential :	M.D.
Gender :	Male

Business Address:

Michael A Manfredi Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	3401 Civic Center Blvd Philadelphia, PA, 19104-4319 United States
Phone Number :	617-833-5824

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1851362859
NPI Entity Type :	Individual
First Enrolment Date :	28 Jan, 2006
Last Updated On :	10 Nov, 2022

Medicare Participation:

Michael A Manfredi Jr. participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	8123043577
Medicare Enrollment ID :	I20221219000683
Primary Specialty :	Gastroenterology
Medical School :	State University Of New York At Stony Brook, School Of Medicine
Graduation Year :	2000
Accepts Medicare?	Yes. Michael A Manfredi Jr. accepts medicare insurance.

Group Practice Association:

Michael A Manfredi Jr. is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Michael A Manfredi Jr. is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Childrens Health Care Associates Inc	1355253527	172	3401 Civic Ctr Blvd Philadelphia, PA - 191044319 Ph: 2155901000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael A Manfredi Jr. are as mentioned. Primary taxonomy code for Michael A Manfredi Jr., M.D. is 2080P0206X (Pediatrics, Pediatric Gastroenterology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0206X	Pediatrics, Pediatric Gastroenterology	Yes	MD478164	PA

Legacy Identifiers:

Other legacy medical identifiers of Michael A Manfredi Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
0035990	Other (non-Medicare)	MA	NeighborHood health
2110393	MEDICAID	MA
470479	Other (non-Medicare)	MA	Tufts
A39231	MEDICARE ID-Type Unspecified	MA
AA40201	Other (non-Medicare)	MA	Harvard Pilgrim
I42928	MEDICARE UPIN	MA
J29198	Other (non-Medicare)	MA	Blue Cross

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	10 W Prospect Ave Moorestown, NJ, 08057-3522 United States
Phone Number :	617-833-5824

Business Location:

Patients can refer following map for directions to Michael A Manfredi Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.