DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DOMENIC MICHAEL MANTELLA, M.D.

Active Sole Proprietor

DR. DOMENIC MICHAEL MANTELLA, M.D. is a Family Medicine healthcare provider located in WEXFORD, Pennsylvania. NPI 1326273392 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · WEXFORD, PA

Registration Details

NPI Number
1326273392
Provider Type
Individual
Gender
Male
NPI Issued
May 20, 2009 (17.233727068968 yrs)
Last Updated
Feb 21, 2013
Licenses
MD439686 (PA)
MD439686 (PA)
Sole Proprietor
Yes

Practice Information

Address
1500 VILLAGE RUN RD
SUITE 308
WEXFORD, PA, 150906316
Browse PA providers · Browse ZIP 15090
Phone
7249341900
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in WEXFORD, PA

Name Credential NPI
DR. JOHN L BEHM M.D. 1437151677
DR. SANDRA ANN CROMO MD 1992793236
SAM DAVID REYNOLDS MD 1114905304
SUSAN T FEDEROFF MD 1083683213
DR. DESIREE BETH BUTTER M.D. 1780646539
DR. RHONDA ALICE MCKENDREE WALLACE D.O. 1407898430
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.