IndividualActive
Charles Manganiello, M.D.
NPI 1861490310 · General Practice Physician · Duryea, PA
Provider details
- NPI number
- 1861490310
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD037791L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
605 Main St
Duryea, PA 18642-1325
Phone: (570) 457-1110
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1388
Kingston, PA 18704-0379
Registry dates
- Enumerated
- 2005-07-08
- Last updated
- 2020-03-25
- Certified
- 2020-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.