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Contact Information

FRED J MANCUSO JR, DC
32 RIVER STREET
CARBONDALE, PA18407
 Phone: 570-282-5533
 Fax: 570-282-5533
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for FRED J MANCUSO JR · (Male)

NPI # 1396806949
Status Active
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 12/13/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • PA License # DC003680L
  • PA Other 4405440 AETNA
  • PA Other 1060644 ASH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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