Individual
DR. JEFFREY MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 WARREN AVE STE 401, EAST PROVIDENCE, RI 02914-1430
(401) 330-2480
(401) 808-6329
Mailing address
10 DAVOL SQ STE 400, PROVIDENCE, RI 02903-4760
(401) 421-4000
(401) 272-1456
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD13899
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932212081
—
RI
Enumeration date
08/15/2006
Last updated
04/02/2024
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