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Individual

MANLIO AUGUSTUS LOCONTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., MPH, FCAP

Contact information

Practice address
800 WASHINGTON STREET BOX 1013, BOSTON, MA 02111
(617) 636-5000
Mailing address
800 WASHINGTON STREET BOX 1013, BOSTON, MA 02111
(781) 861-9649
(781) 863-8031

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
36288
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
36288
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036288
TUFTS
MA
01
220019990
RAILROAD MEDICARE
01
33089
FALLON
MA
01
34747
HARVARD PILGRIM
MA
05
6188206
MA
01
B23086
BLUE CROSS
MA
Enumeration date
04/27/2006
Last updated
03/29/2026
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