31D2161126 CLIA NUMBER - DANIEL MANSKE MD

Laboratory Demographics

CLIA Number: 31D2161126

Facility Name: DANIEL MANSKE MD

Facility Address:
154 W COMMERCE STREET
BRIDGETON, NJ
ZIP 08302
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Facility Phone Number: 856 459-3500

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1356389860

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	31D2161126
LAB Type	Physician Office
Facility Name	DANIEL MANSKE MD
Street	154 W COMMERCE STREET
City	BRIDGETON
State	NJ
ZIP	08302
Phone	856 459-3500
CertificateType	4
CertificateEffectiveDate	1/28/2023
CertificateExpirationDate	1/27/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024