Organization
STEVEN A. MANALAN, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN ARTHUR MANALAN MD (PRESIDENT)
(978) 345-0343
Entity
Organization
Contact information
Practice address
1480 JOHN FITCH HWY, FITCHBURG, MA 01420-2035
(978) 345-0343
Mailing address
1480 JOHN FITCH HWY, FITCHBURG, MA 01420-2035
(978) 345-0343
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
37254
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9730168
—
MA
Enumeration date
09/11/2007
Last updated
09/11/2007
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