MEDICARE: JOSEPH L. MANLEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	30889	DC

General Provider Information

NPI Number	:	1114926755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH L. MANLEY M.D.

Provider Business Mailing Address
First Line	:	4608 S CHELSEA LN
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-3718
Country	:	US
Telephone Number	:	301-461-3871
Fax Number	:

Provider Business Practice Location Address
First Line	:	2041 GEORGIA AVE NW HUH B105
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20060
Country	:	US
Telephone Number	:	202-865-6100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	02/08/2022

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