Joan B Mannick M.D.

NPI 1033191101 - Internal Medicine - 207RI0200X

NPI Details
NPI 1033191101
Gender Female
Enumeration Date 11/15/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
55 LAKE AVE N
DEPARTMENT OF INFECTIOUS DISEASE
WORCESTER MA, 01655-0002, US
Phone (508) 856-7511
Fax
Business Location
PO BOX 62
TURNPIKE STATION
SHREWSBURY MA, 01545-0062, US
Phone (508) 334-8815
Fax (508) 334-5374
Toxanomy
Taxonomy Code 207RI0200X
License State Massachusetts
License Number 60494
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According to our database, Dr. Joan B Mannick M.D. NPI is 1033191101, taxonomy code is 207RI0200X and license number is 60494, license state is located at Massachusetts. Joan B Mannick M.D. physically located at 55 Lake Ave N, Worcester MA, 01655-0002. NPI Number Joan B Mannick M.D. has the Individual type.

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1033191101 NPI number is provided on an as is basis without warranty of any kind. 1033191101 is maintained by the National Plan & Provider Enumeration System. The contents of Joan B Mannick M.D. are for informational purposes only.