Dr. Joan B Mannick
Infectious Disease
55 Lake Ave N Department Of Infectious Disease
Worcester
, Massachusetts 01655-0002
Dr. Joan B Mannick
Infectious Disease
55 Lake Ave N Department Of Infectious Disease
Worcester
, Massachusetts 01655-0002
(508) 334-5374
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Dr. Joan B Mannick
- Po Box 62 Turnpike Station
- Shrewsbury, MA
- Zip : 01545-0062
- Fax : (508) 334-5374
- Phone : (508) 334-8815
Second Address
- Dr. Joan B Mannick
- 55 Lake Ave N Department Of Infectious Disease
- Worcester, MA
- Zip : 01655-0002
- Phone : (508) 856-7511
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0200X | Infectious Disease | 60494 | MA |
National Provider Identifier
| NPI | 1033191101 |
|---|---|
| Provider Name | Dr. Joan B Mannick |
| First Address | Shrewsbury, MA 01545-0062 |
| Second Address | Worcester, MA 01655-0002 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3118207 | (05) | MA |
| F75353 | (02) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.