Manasseh, Christopher S

Manasseh, Christopher S is an individual health care provider with primary practice located at 11 Melnea Cass Blvd , Boston MA 02119-4401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Manasseh, Christopher S can be contacted via phone (617) 414-2080.

Contact Information

Primary practice address
11 Melnea Cass Blvd Boston MA 02119-4401
Phone: (617) 414-2080
Fax: (617) 414-2090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 211668 Massachusetts

Profile Details

NPI number 1407820673
LBN Legal business name Manasseh, Christopher S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jun 1st, 2023 - about 2 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 1407820673 NPPES
Massachusetts MEDICAID 110004334A
Massachusetts Other 3114928

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