Organization
JOHN FITCH RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN A MANALAN MD (ORTHOPAEDIC SURGEON)
(978) 345-0343
Entity
Organization
Contact information
Practice address
1480 JOHN FITCH HIGHWAY, 1480 JOHN FITCH HIGHWAY, FITCHBURG, MA 01420
(978) 342-6990
(978) 345-6932
Mailing address
1480 JOHN FITCH HIGHWAY, 1480 JOHN FITCH HIGHWAY, FITCHBURG, MA 01420
(978) 342-6990
(978) 345-6932
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4504
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9728317
—
MA
Enumeration date
09/22/2006
Last updated
08/22/2020
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