Individual
DR. MARY CATHERINE MANESIS-GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
888 WORCESTER ST, SUITE 130, WELLESLEY, MA 02482-3744
(617) 964-6681
(339) 686-2561
Mailing address
888 WORCESTER ST, SUITE 130, WELLESLEY, MA 02482-3744
(617) 964-6681
(339) 686-2561
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0240
NH
213E00000X
Podiatrist
1713
TX
213E00000X
Podiatrist
Primary
1956
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0357804
—
MA
05
—
171675501
—
TX
05
—
30009080
—
NH
01
—
480013145
MEDICARE RAILROAD
—
01
—
P00259202
MEDICARE RAILROAD
TX
01
—
Y70952
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/28/2006
Last updated
08/28/2012
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