Individual
JASON PL MANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
801 MASSACHUSETTS AVENUE, CROSSTOWN BLDG SUITE 6C, BOSTON, MA 02118
(617) 414-5951
(617) 414-9201
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
9018
CT
363LG0600X
Gerontology Nurse Practitioner
Primary
RN10017792
MA
Other
Enumeration date
05/12/2020
Last updated
07/02/2025
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