Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174V00000X | Clinical Ethicist | ||
Y | 207R00000X | Internist | 5580 | NH |
Y | 111NI0900X | Internist | 5580 | NH |
NPI | 1275878498 |
---|---|
Provider Name | Mr. Joseph Peter Lamanna |
First Address | Boxford, MA 01921 |
Second Address | Boxford, MA 01921 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2012 |
Last Update Date | 28/11/2012 |