Manesis, Dimitra A

Manesis, Dimitra A is an individual health care provider with primary practice located at 2 Essex Center Dr Internal Medicine, Peabody MA 01960-2902. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Manesis, Dimitra A can be contacted via phone (978) 977-4000.

Contact Information

Primary practice address
2 Essex Center Dr Internal Medicine Peabody MA 01960-2902
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 52313 Massachusetts
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 52313 Massachusetts

Profile Details

NPI number 1023074952
LBN Legal business name Manesis, Dimitra A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1023074952 NPPES
Massachusetts MEDICAID 0120871

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