James A. Manganiello EDD.

NPI 1003997073 - Psychologist - 103T00000X

NPI Details
NPI 1003997073
Gender Male
Enumeration Date 10/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
33 CONOMO POINT RD
ESSEX MA, 01929-1040, US
Phone (978) 979-4480
Fax (978) 768-2589
Business Location
2 CENTER ST
GROVELAND MA, 01834-1001, US
Phone (978) 979-4480
Fax (978) 374-7557
Toxanomy
Taxonomy Code 103T00000X
License State Massachusetts
License Number 1690
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According to our database, Dr. James A. Manganiello EDD. NPI is 1003997073, taxonomy code is 103T00000X and license number is 1690, license state is located at Massachusetts. James A. Manganiello EDD. physically located at 33 Conomo Point Rd, Essex MA, 01929-1040. NPI Number James A. Manganiello EDD. has the Individual type.

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1003997073 NPI number is provided on an as is basis without warranty of any kind. 1003997073 is maintained by the National Plan & Provider Enumeration System. The contents of James A. Manganiello EDD. are for informational purposes only.