Individual
MANUEL INFANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
136 HARRISON AVE RM 510A, BOSTON, MA 02111-1817
(617) 636-0975
Mailing address
136 HARRISON AVE RM 510A, BOSTON, MA 02111-1817
(617) 636-0975
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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