Organization
WILLIAM J MANNING JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J MANNING JR. MD (PROPRIETOR)
(508) 771-0169
Entity
Organization
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
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200001225CB3802
RAILROAD MEDICARE
—
01
—
686920
TUFTS
MA
05
—
9700871
—
MA
01
—
M17544
BCBS
MA
Enumeration date
02/01/2006
Last updated
08/22/2020
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