Manno, Mariann M
Manno, Mariann M is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Pediatrics, Worcester MA 01655-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Manno, Mariann M can be contacted via phone (774) 442-2599.Contact Information
Primary practice address
55 Lake Ave N Department Of Pediatrics
Worcester MA 01655-0002
Phone: (774) 442-2599
Fax: (774) 442-2510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 52834 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 52834 | Massachusetts |
Profile Details
| NPI number | 1598749624 |
|---|---|
| LBN Legal business name | Manno, Mariann M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Nov 16th, 2020 - about 4 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 | 1598749624 | NPPES |
| Massachusetts | MEDICAID | 6180582 |
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