Individual
VIRGIL SERBAN MANICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 WASHINGTON ST, DEPT. OF ANESTHESIA - TUFTS NEMC, BOSTON, MA 02111-1526
(617) 636-9310
(617) 636-8384
Mailing address
750 WASHINGTON ST, DEPT. OF ANESTHESIA - TUFTS NEMC, BOSTON, MA 02111-1526
(617) 636-9310
(617) 636-8384
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
71484
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3076741
—
MA
Enumeration date
11/18/2005
Last updated
07/09/2007
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