NPI 1003042441

Mark Manzo

Practitioner Physician Assistant Worcester, MA

Practice location

Address: 210 Park Ave STE 163, Worcester, MA 01609-2246
Phone: (508) 752-0843

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA3715 (MA)

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Registry record

NPI: 1003042441
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 May 2009
Record last updated: 20 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.