Individual
DR. JUSTINE HOLLY MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST # 812, BOSTON, MA 02114-2621
(617) 724-5600
(617) 726-7541
Mailing address
1282 BOYLSTON ST UNIT 927, BOSTON, MA 02215-4462
(513) 996-4446
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
279418
MA
2084P0800X
Psychiatry Physician
MT208114
PA
Other
Enumeration date
04/01/2015
Last updated
07/02/2019
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