Individual
ANTHONY MANFREDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 W. BELVEDERE AVE., DEPARTMENT OF PHYSICAL MEDICINE AND REHABILITATION, BALTIMORE, MD 21215
(410) 601-9000
Mailing address
2401 W. BELVEDERE AVE., DEPARTMENT OF PHYSICAL MEDICINE AND REHABILITATION, BALTIMORE, MD 21215
(410) 601-9000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D0088817
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2016
Last updated
05/13/2020
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