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
Phone: (978) 977-4000
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023074952 | NPPES |
Massachusetts | MEDICAID | 0120871 |
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