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NPI Code Detail

MEDICARE: JOSEPH LAWRENCE MANIACI

MEDICARE: JOSEPH LAWRENCE MANIACI
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
1390200000XStudent in an Organized Health Care Education/Training ProgramRTL22-0085NC

General Provider Information

NPI Number : 1710621297
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH LAWRENCE MANIACI
Provider Business Mailing Address
First Line : 300 BRINKHOUS-BULLITT BLDG CB#7525
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27599-7525
Country : US
Telephone Number : 919-966-4676
Fax Number : 919-966-6718
Provider Business Practice Location Address
First Line : 300 BRINKHOUS-BULLITT BLDG CB#7525
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27599-5022
Country : US
Telephone Number : 919-966-4676
Fax Number : 919-966-6718
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2022
Last Update Date : 04/22/2022

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Directions to “ JOSEPH LAWRENCE MANIACI ” Practice Location

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