Mary Ellen Manning MD

NPI 1033109160 - Internal Medicine - 207R00000X

NPI Details
NPI 1033109160
Gender Female
Enumeration Date 10/28/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
WAC 634
BOSTON MA, 02114-3117, US
Phone (617) 724-0909
Fax (617) 724-3843
Business Location
PO BOX 9142
CHARLESTOWN MA, 02129-9142, US
Phone (617) 724-0287
Fax (617) 726-2894
Taxonomy Code 207R00000X
License State Massachusetts
License Number 54762
Remove 1033109160 NPI Number

According to our database, Dr. Mary Ellen Manning MD NPI is 1033109160, taxonomy code is 207R00000X and license number is 54762, license state is located at Massachusetts. Mary Ellen Manning MD physically located at 15 Parkman St, Boston MA, 02114-3117. NPI Number Mary Ellen Manning MD has the Individual type.

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1033109160 NPI number is provided on an as is basis without warranty of any kind. 1033109160 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Ellen Manning MD are for informational purposes only.