Individual
DR. SUSAN R MANEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
40 2ND AVE, WALTHAM, MA 02451-1132
(781) 466-9555
(781) 487-2361
Mailing address
40 2ND AVE, WALTHAM, MA 02451-1132
(781) 466-9555
(781) 487-2361
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
206304
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0124541
—
MA
Enumeration date
07/12/2006
Last updated
07/08/2007
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