Mary Moon Manzo, PA-C
NPI #1730292244 in Newport, Rhode Island
Provider Information
- NPI Number
- 1730292244
- Entity Type
- Individual
- Name
- Mary Moon Manzo, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA-C
- Enumeration Date
- Aug 17, 2006
- Last Updated
- Feb 16, 2012
Practice Location
- Address
- 19 FRIENDSHIP ST
- City
- Newport
- State
- Rhode Island
- ZIP Code
- 02840-2272
- Phone
- (401) 849-6868
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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