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NPI Code Detail

MEDICARE: CLAIRE A MCMANUS LIC. AC.

MEDICARE:   CLAIRE A MCMANUS  LIC. AC.
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
1171100000XAcupuncturist211077MA

General Provider Information

NPI Number : 1982771614
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAIRE A MCMANUS LIC. AC.
Provider Business Mailing Address
First Line : 41 SHEFFIELD RD
Second Line : #3
City : ROSLINDALE
State : MA
Zip : 02131-1513
Country : US
Telephone Number : 617-818-5549
Fax Number :
Provider Business Practice Location Address
First Line : 81 COREY ST
Second Line :
City : WEST ROXBURY
State : MA
Zip : 02132-2338
Country : US
Telephone Number : 617-818-5549
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 07/08/2007

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Directions to “ CLAIRE A MCMANUS LIC. AC.” Practice Location

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