Individual
JEFFREY MICHAEL MANZANO AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(732) 439-8519
Mailing address
124 COLONY PL, MADISON, MS 39110
(732) 439-8519
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
25MA10601300
NJ
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
30124
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245681683
—
NY
Enumeration date
06/27/2016
Last updated
07/14/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us