MEDICARE: MRS. MARGARET MANION 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	208000000X	Pediatrics Physician	72764	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MAJ10682	OTHER	MA	BCBS
2	072764	OTHER	MA	TUFTS
3	200319	OTHER	MA	HPHC
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417990292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARGARET MANION M.D.

Provider Business Mailing Address
First Line	:	681 BOSTON POST RD
Second Line	:
City	:	WESTON
State	:	MA
Zip	:	02493-1543
Country	:	US
Telephone Number	:	781-899-2329
Fax Number	:	781-647-8905

Provider Business Practice Location Address
First Line	:	486 BOSTON POST RD
Second Line	:
City	:	WESTON
State	:	MA
Zip	:	02493-1529
Country	:	US
Telephone Number	:	781-899-4456
Fax Number	:	781-647-8905

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

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	07/08/2007

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