Mcmanus, Michael L

Mcmanus, Michael L is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Mcmanus, Michael L can be contacted via phone (617) 355-7327.

Contact Information

Primary practice address
300 Longwood Ave Boston MA 02115-5724
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 54696 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 54696 Massachusetts

Profile Details

NPI number 1639131543
LBN Legal business name Mcmanus, Michael L
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Aug 22nd, 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 1639131543 NPPES
Massachusetts MEDICAID 3059022

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