Individual
JOHN PAUL MANNINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
725 ALBANY STREET, SHAPIRO 7, SUITE B, BOSTON, MA 02118
(617) 638-8456
(617) 638-8465
Mailing address
801 ALBANY STREET, FL GROUND, BOSTON, MA 02119
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2288385
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2288385
MA
Other
Enumeration date
07/17/2020
Last updated
11/01/2021
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