Provider Demographics
NPI:1093781395
Name:SANCHEZ, MANUEL G (MD)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:G
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 SHATTUCK WAY STE 6
Mailing Address - Street 2:
Mailing Address - City:NEWINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7876
Mailing Address - Country:US
Mailing Address - Phone:603-778-9921
Mailing Address - Fax:
Practice Address - Street 1:101 SHATTUCK WAY STE 6
Practice Address - Street 2:
Practice Address - City:NEWINGTON
Practice Address - State:NH
Practice Address - Zip Code:03801-7876
Practice Address - Country:US
Practice Address - Phone:603-778-9921
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH8136174400000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30003178Medicaid
NHAA6099OtherHARVARD PILGRIM HEALTHCAR
NH0105227Y0NH01OtherANTHEM
NH279612OtherCIGNA
50070284OtherRAILROAD MEDICARE
E24231Medicare UPIN
NHAA6099OtherHARVARD PILGRIM HEALTHCAR