Dr. Susan R Manea
Medical Geneticist
40 2nd Ave
Waltham
, Massachusetts 02451-1132
Dr. Susan R Manea
Medical Geneticist
40 2nd Ave
Waltham
, Massachusetts 02451-1132
(781) 487-2361
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About
Features
Specialties
- Medical Geneticist
Languages spoken
- English
Location
First Address
- Dr. Susan R Manea
- 40 2nd Ave
- Waltham, MA
- Zip : 02451-1132
- Fax : (781) 487-2361
- Phone : (781) 466-9555
Second Address
- Dr. Susan R Manea
- 40 2nd Ave
- Waltham, MA
- Zip : 02451-1132
- Fax : (781) 487-2361
- Phone : (781) 466-9555
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Is Dr. Susan R Manea a sole practitioner?
Is Dr. Susan R Manea accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 170100000X | Medical Geneticist | 206304 | MA |
National Provider Identifier
| NPI | 1053336958 |
|---|---|
| Provider Name | Dr. Susan R Manea |
| First Address | Waltham, MA 02451-1132 |
| Second Address | Waltham, MA 02451-1132 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0124541 | (05) | MA |
| G14560 | (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.