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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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