Doctor Name: | DR. RICHARD KNOLL MANNAL |
NPI Number: | 1518949221 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 39181 |
Business Practice Address: | 99 Katherine Rd Centerville, MA - 026323213 |
Business Phone Number: | 5087909407 |
Business Fax Number: | |
Mailing Address: | 72 Washington St, TAUNTON |
State: | MA |
Postal Code: | 027802491 |
Phone Number: | 5088241824 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2005 |
NPI Last Update Date: | 01/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 39181 |
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. |