Provider Demographics
NPI:1417990292
Name:MANION, MARGARET (MD)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:
Last Name:MANION
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:681 BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:MA
Mailing Address - Zip Code:02493-1543
Mailing Address - Country:US
Mailing Address - Phone:781-899-2329
Mailing Address - Fax:781-647-8905
Practice Address - Street 1:486 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:MA
Practice Address - Zip Code:02493-1529
Practice Address - Country:US
Practice Address - Phone:781-899-4456
Practice Address - Fax:781-647-8905
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA72764208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAMAJ10682OtherBCBS
MA072764OtherTUFTS
MA200319OtherHPHC
MA3076695Medicaid
MA072764OtherTUFTS