Ainsly Oliver Manning PA

NPI 1851362537 - Physician Assistant - 363AM0700X

NPI Details
NPI 1851362537
Gender Male
Enumeration Date 01/30/2006
Last Updated 03/13/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
222 STATE ST
LUDLOW MA, 01056-3437, US
Phone (413) 308-3300
Fax (413) 308-3601
Business Location
819 WORCESTER ST
SUITE 3
SPRINGFIELD MA, 01151-1045, US
Phone (413) 543-6820
Fax (413) 543-7962
Toxanomy
Taxonomy Code 363AM0700X
License State Massachusetts
License Number PA1161
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According to our database, Ainsly Oliver Manning PA NPI is 1851362537, taxonomy code is 363AM0700X and license number is PA1161, license state is located at Massachusetts. Ainsly Oliver Manning PA physically located at 222 State St, Ludlow MA, 01056-3437. NPI Number Ainsly Oliver Manning PA has the Individual type.

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1851362537 NPI number is provided on an as is basis without warranty of any kind. 1851362537 is maintained by the National Plan & Provider Enumeration System. The contents of Ainsly Oliver Manning PA are for informational purposes only.