Individual
DR. RICHARD KNOLL MANNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
99 KATHERINE RD, CENTERVILLE, MA 02632-3213
(508) 790-9407
Mailing address
72 WASHINGTON ST, TAUNTON, MA 02780-2491
(508) 824-1824
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
39181
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171420
HPHC
MA
05
—
2043882
—
MA
01
—
793303
TUFTS
MA
05
—
9709720
—
MA
Enumeration date
11/17/2005
Last updated
01/23/2013
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