Manson, Theodore Thomas

Manson, Theodore Thomas is an individual health care provider with primary practice located at 8322 Bellona Ave Ste 100 , Towson MD 21204-2065. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Manson, Theodore Thomas can be contacted via phone (410) 337-7900.

Contact Information

Primary practice address
8322 Bellona Ave Ste 100 Towson MD 21204-2065
Fax: (410) 337-5321
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 60-243390 New York
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X D0065474 Maryland

Profile Details

NPI number 1760537666
LBN Legal business name Manson, Theodore Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Jun 15th, 2019 - about 6 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 1760537666 NPPES
Maryland Other D0065474 MD LICENSE #

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