Individual
DR. THEO CLYDE MANSCHRECK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
59 OUTLOOK DRIVE, LEXINGTON, MA 02421-9637
(781) 863-2304
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35291
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6190995
—
MA
01
—
714059
TUFTS HEALTH PLAN
MA
Enumeration date
11/08/2005
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us