Individual
JULIA MICHAEL MANCUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, MS, ATC
Contact information
Practice address
2014 WASHINGTON ST, NEWTON, MA 02462-1699
(617) 243-6000
Mailing address
2014 WASHINGTON ST, NEWTON, MA 02462-1699
(617) 243-6000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
PA100359
MA
Other
Enumeration date
11/15/2016
Last updated
09/28/2025
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