Individual
ETHAN RICHARD MANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
115 CASS AVE, WOONSOCKET, RI 02895-4705
(401) 769-4100
Mailing address
4 WOODVIEW WAY UNIT A23, HOPKINTON, MA 01748-2860
(857) 772-9380
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA7744
MA
363A00000X
Physician Assistant
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Other
Enumeration date
03/22/2020
Last updated
12/04/2025
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