Doctor Name: | JULIA TAKAHASHI MCMANUS |
NPI Number: | 1023252251 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 251836 |
Business Practice Address: | 398 Neponset Ave Dorchester, MA - 02122 |
Business Phone Number: | 6172823200 |
Business Fax Number: | 6178258577 |
Mailing Address: | 1135 Morton Street, MATTAPAN |
State: | MA |
Postal Code: | 02126 |
Phone Number: | 6175332300 |
Fax Number: | 6175332341 |
NPI Enumeration Date: | 05/01/2009 |
NPI Last Update Date: | 01/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 251836 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |