Alexa Photene Manickas in Boston - Diagnostic Radiology
Alexa Photene Manickas - NPI 1134105521
Alexa Photene Manickas is a Diagnostic Radiology in Boston, Massachusetts. Alexa Photene Manickas practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Alexa Photene Manickas is 1134105521. The last update date is 2012-10-02.
Alexa Photene Manickas's current location address is 75 Francis St, Boston, Massachusetts. You can contact this provider via phone number 6177329801. The mailing address for Alexa Photene Manickas is 75 Francis St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alexa Photene Manickas |
|---|---|
| Address | 75 Francis St, Boston, Massachusetts |
| Phone Number | 6177329801 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1134105521 |
|---|---|
| Provider Enumeration Date | 2005-12-19 |
| Last Updated Date | 2012-10-02 |
Provider Mailing Address Detail
| Address | 75 Francis St |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21156110 |
| Phone Number | 6177329801 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 79111 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 737692 | MA | TUFTS HEALTH PLAN | |
| 3126463 | MA | -- | |
| J30631 | MA | BLUE CROSS BLUE SHIELD |
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What is the unique 10-digit identification code assigned to Alexa Photene Manickas by the Centers for Medicare & Medicaid Services?
The Alexa Photene Manickas has been issued the NPI (National Provider Identifier) 1134105521, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Alexa Photene Manickas located?
The Alexa Photene Manickas is located at 75 Francis St, Boston, MA 21156110.
What is the Alexa Photene Manickas's specialty and taxonomy code?
The Alexa Photene Manickas's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
When did Alexa Photene Manickas receive its 1134105521 assignment?
The Alexa Photene Manickas was assigned its 1134105521 on 2005-12-19, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Alexa Photene Manickas last refreshed?
The information related to the Alexa Photene Manickas, including its address, specialty, and other relevant details, was last updated on 2012-10-02.