Mark Manzo
Physician Assistant in Worcester, Massachusetts
1003042441- Practice location
- 210 Park Ave Ste 163, Worcester, MA 01609-2246
- Phone
- 508-752-0843
- Fax
- —
- Last updated
- November 20, 2015
Mark Manzo is a Physician Assistant based in Worcester, MA. Mark Manzo practices in Worcester, MA. The NPI Number for Mark Manzo is 1003042441 and holds a License No. PA3715 (MA). The current practice location address for Mark Manzo is 210 Park Ave Ste 163, Worcester, MA 01609-2246 and can be reached out via phone at 508-752-0843.
Provider Profile Details
- NPI Number
- 1003042441
- Provider Name
- Mark Manzo
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 210 Park Ave Ste 163, Worcester, MA 01609-2246
- Phone Number
- 508-752-0843
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 29, 2009
- Last Update Date
- November 20, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 210 Park Ave Ste 163
Worcester, MA 01609-2246 - City
- Worcester
- State
- Massachusetts
- Zip
- 01609-2246
- Phone Number
- 508-752-0843
Provider Business Mailing Address Details
- Address
- 210 Park Ave Ste 163
Worcester, MA 01609-2246 - City
- Worcester
- State
- MA
- Zip
- 01609-2246
- Phone Number
- 508-752-0843
License Information
- License Number
- PA3715
- License State
- MA
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mark Manzo?
The NPI number of Mark Manzo is 1003042441. It was assigned on May 29, 2009 and is currently active in the NPPES registry.
What is the specialty of Mark Manzo?
Mark Manzo is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA3715.
Where does Mark Manzo practice?
The practice location is 210 Park Ave Ste 163, Worcester, MA 01609-2246. The office can be reached at 508-752-0843 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003042441 directly on the NPPES registry website.