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Individual

DR. GEORGE BENSON MCMANAMA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 HIGHLAND ST, SUITE G1, MILTON, MA 02186-3881
(617) 698-5198
(617) 698-7542
Mailing address
100 HIGHLAND ST, SUITE G1, MILTON, MA 02186-3881
(617) 698-5198
(617) 698-7542

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
38991
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2089319
MA
Enumeration date
04/10/2006
Last updated
06/20/2014
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