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NPI Code Detail

MEDICARE: DR. JOHN L MCMANAMY MD

MEDICARE: DR. JOHN L MCMANAMY MD
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
1207L00000XAnesthesiology Physician73922MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326047333
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN L MCMANAMY MD
Provider Business Mailing Address
First Line : 25 HIGHLAND AVE
Second Line :
City : NEWBURYPORT
State : MA
Zip : 01950-3867
Country : US
Telephone Number : 978-463-1000
Fax Number :
Provider Business Practice Location Address
First Line : 690 CANTON ST
Second Line : SUITE 325
City : WESTWOOD
State : MA
Zip : 02090-2321
Country : US
Telephone Number : 781-407-7713
Fax Number : 781-407-0998
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 10/16/2007

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Directions to “ DR. JOHN L MCMANAMY MD” Practice Location

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