Individual
MARY E. MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
272 CHESTNUT ST, NEEDHAM, MA 02492-2410
(781) 455-6200
(781) 449-1096
Mailing address
272 CHESTNUT ST, NEEDHAM, MA 02492-2410
(781) 455-6200
(781) 449-1096
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
72681
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3124061
—
MA
Enumeration date
07/03/2006
Last updated
09/14/2012
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