Individual
GEM MARIAN MANALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, GRB 444, BOSTON, MA 02114
(617) 726-3030
Mailing address
55 FRUIT ST, GRB 444, BOSTON, MA 02114
(617) 726-3030
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
291692
MA
Other
Enumeration date
03/28/2018
Last updated
06/01/2022
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