Manasian, Simona M

Manasian, Simona M is an individual health care provider with primary practice located at 725 Albany Street Shaprio 7, Suite B, Boston MA 02118-2309. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Manasian, Simona M can be contacted via phone (617) 638-8456.

Contact Information

Primary practice address
725 Albany Street Shaprio 7, Suite B Boston MA 02118-2309
Phone: (617) 638-8456
Fax: (617) 638-8415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 160755 Massachusetts

Profile Details

NPI number 1760454094
LBN Legal business name Manasian, Simona M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Apr 25th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760454094 NPPES
Massachusetts MEDICAID 110000355A

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