Mary M Manzo, PA-C
Physician Assistant, Surgical in Newport, Rhode Island
1730292244- Practice location
- 19 Friendship St, Newport, RI 02840-2272
- Phone
- 401-849-6868
- Fax
- 401-847-3840
- Last updated
- February 16, 2012
Mary Moon Manzo is a Physician Assistant, Surgical based in Newport, RI. Mary Moon Manzo practices in Newport, RI and has the professional credentials of PA-C. The NPI Number for Mary Moon Manzo is 1730292244 and holds a License No. PA 449 (RI). The current practice location address for Mary Moon Manzo is 19 Friendship St, Newport, RI 02840-2272 and can be reached out via phone at 401-849-6868 and via fax at 401-847-3840.
Provider Profile Details
- NPI Number
- 1730292244
- Provider Name
- Mary Moon Manzo
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 19 Friendship St, Newport, RI 02840-2272
- Phone Number
- 401-849-6868
- Fax Number
- 401-847-3840
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 17, 2006
- Last Update Date
- February 16, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19 Friendship St
Newport, RI 02840-2272 - City
- Newport
- State
- Rhode Island
- Zip
- 02840-2272
- Phone Number
- 401-849-6868
- Fax Number
- 401-847-3840
Provider Business Mailing Address Details
- Address
- 2 Dudley St
Ste 200
Providence, RI 02905-3248 - City
- Providence
- State
- RI
- Zip
- 02905-3248
- Phone Number
- 401-849-6868
- Fax Number
- 401-847-3840
License Information
- License Number
- PA 449
- License State
- RI
- Taxonomy
- Physician Assistant, Surgical · 363AS0400X · 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 Mary M Manzo, PA-C?
The NPI number of Mary M Manzo, PA-C is 1730292244. It was assigned on August 17, 2006 and is currently active in the NPPES registry.
What is the specialty of Mary M Manzo, PA-C?
Mary M Manzo, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in RI under license number PA 449.
Where does Mary M Manzo, PA-C practice?
The practice location is 19 Friendship St, Newport, RI 02840-2272. The office can be reached at 401-849-6868 (phone) or 401-847-3840 (fax).
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 1730292244 directly on the NPPES registry website.