Individual
DR. WESLEY B MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
295487
MA
2085R0202X
Diagnostic Radiology Physician
ME113460
FL
2085R0204X
Vascular & Interventional Radiology Physician
45958
KY
2085R0204X
Vascular & Interventional Radiology Physician
ME113460
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010616200
—
FL
01
—
14U1D
BCBS FL
FL
01
—
P01296505
RAILROAD MEDICARE
FL
01
—
P01296507
RAILROAD MEDICARE
FL
Enumeration date
06/26/2007
Last updated
05/11/2023
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