Provider Demographics
NPI:1447297502
Name:MANION, DAVID PATRICK (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:PATRICK
Last Name:MANION
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:995 OLD EAGLE SCHOOL RD
Mailing Address - Street 2:SUITE 304-F
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-1709
Mailing Address - Country:US
Mailing Address - Phone:610-688-3099
Mailing Address - Fax:610-687-5350
Practice Address - Street 1:995 OLD EAGLE SCHOOL RD
Practice Address - Street 2:SUITE 304-F
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-1709
Practice Address - Country:US
Practice Address - Phone:610-688-3099
Practice Address - Fax:610-687-5350
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2017-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD428214207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology