Individual
MREDULA MANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
85 HERRICK ST, BEVERLY, MA 01915-1790
(413) 543-6820
Mailing address
85 HERRICK ST, BEVERLY, MA 01915-1790
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
253733
MA
208M00000X
Hospitalist Physician
Primary
253733
MA
Other
Enumeration date
04/17/2009
Last updated
10/22/2019
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