Individual
JULIA TAKAHASHI MCMANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
398 NEPONSET AVE, DORCHESTER, MA 02122
(617) 282-3200
(617) 825-8577
Mailing address
1135 MORTON STREET, MATTAPAN, MA 02126
(617) 533-2300
(617) 533-2341
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
251836
MA
Other
Enumeration date
05/01/2009
Last updated
01/22/2014
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