Individual
EMILY MANIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(215) 901-2698
Mailing address
55 FRUIT ST # 425, BOSTON, MA 02114-2621
(215) 901-2698
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3017250
MA
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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