Provider Demographics
NPI:1285614727
Name:MANLEY, JAMES STEVEN (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:STEVEN
Last Name:MANLEY
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 1:1 CENTURIAN DR STE 312
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2127
Mailing Address - Country:US
Mailing Address - Phone:302-319-5680
Mailing Address - Fax:302-319-5681
Practice Address - Street 1:1 CENTURIAN DR
Practice Address - Street 2:SUITE 312
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2137
Practice Address - Country:US
Practice Address - Phone:302-319-5680
Practice Address - Fax:302-319-5681
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10003400207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE000406901Medicaid
DEF19988Medicare UPIN
DEMA713516Medicare ID - Type UnspecifiedPENDING- NEW PRACTICE