Individual
DIANA K MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
630 PLANTATION ST, WORCESTER, MA 01605
(508) 852-8570
(508) 852-1022
Mailing address
378 MAPLE AVE, SHREWSBURY, MA 01545-2675
(508) 852-8570
(508) 852-1022
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
230479
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2128535
—
MA
Enumeration date
11/16/2006
Last updated
06/19/2020
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