Individual
MANISHA N. MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
670 ALBANY ST, SUITE 304, BOSTON, MA 02118
(617) 414-5314
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
257651
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
257651
MA
Other
Enumeration date
10/17/2008
Last updated
06/11/2018
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