Individual
DR. WILLIAM J. MANNING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 ATTUCKS LANE, SUITE 1A, HYANNIS, MA 02601
(508) 771-0169
(508) 790-1522
Mailing address
700 ATTUCKS LANE, SUITE 1A, HYANNIS, MA 02601
(508) 771-0169
(508) 790-1522
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
020356
CT
207X00000X
Orthopaedic Surgery Physician
48448
MA
207X00000X
Orthopaedic Surgery Physician
Primary
49448
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000027573
BOSTON MEDICAL CENTER
MA
05
—
0166537
—
MA
01
—
17063
HARVARD PILGRIM
MA
01
—
200040407
RAILROAD MEDICARE
MA
01
—
2463146
AETNA
MA
01
—
49448
MA LICENSE
—
01
—
6789580004
CIGNA
MA
01
—
706697
TUFTS
MA
01
—
L15145
BCBS
MA
Enumeration date
02/08/2006
Last updated
03/02/2009
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