| NPI | 1518112499 |
|---|---|
| Former Legal Business Name | MARY C. MANESIS, DPM, PA |
| Doing Business As | HEALTHDRIVE PODIATRY GROUP |
| Entity Type | Organization |
| Authorized Contact | MICHELE L. TRBOVICH Owner/Practice Director 857-255-0486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2020-01-02 |