Manasian, Simona M
Manasian, Simona M is an individual health care provider with primary practice located at 725 Albany Street Shaprio 7, Suite B, Boston MA 02118-2309. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Manasian, Simona M can be contacted via phone (617) 638-8456.Contact Information
Primary practice address
725 Albany Street Shaprio 7, Suite B
Boston MA 02118-2309
Phone: (617) 638-8456
Fax: (617) 638-8415
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 160755 | Massachusetts |
Profile Details
NPI number | 1760454094 |
---|---|
LBN Legal business name | Manasian, Simona M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 2nd, 2006 |
Last updated | Apr 25th, 2014 - about 11 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 | 1760454094 | NPPES |
Massachusetts | MEDICAID | 110000355A |
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