Loconte, Manlio Augustus
Loconte, Manlio Augustus is an individual health care provider with primary practice located at 800 Washington Street Box 1013 , Boston MA 02111. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Loconte, Manlio Augustus can be contacted via phone (617) 636-5000.Contact Information
Primary practice address
800 Washington Street Box 1013
Boston MA 02111
Phone: (617) 636-5000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 36288 | Massachusetts |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 36288 | Massachusetts |
Profile Details
NPI number | 1114984820 |
---|---|
LBN Legal business name | Loconte, Manlio Augustus |
Credentials | M.D., MPH, FCAP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 27th, 2006 |
Last updated | Sep 17th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114984820 | NPPES |
Massachusetts | Other | B23086 | BLUE CROSS |
Massachusetts | Other | 220019990 | BLUE CROSS |
Massachusetts | Other | 036288 | BLUE CROSS |
Massachusetts | MEDICAID | 6188206 | BLUE CROSS |
Massachusetts | Other | 33089 | BLUE CROSS |
Massachusetts | Other | 34747 | BLUE CROSS |
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