Individual
DR. MICHAEL L MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-7327
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
54696
MA
208000000X
Pediatrics Physician
54696
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3059022
—
MA
Enumeration date
04/05/2006
Last updated
08/22/2007
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