Provider Demographics
NPI:1659345858
Name:MANOLI, SABINE H (MD)
Entity Type:Individual
Prefix:DR
First Name:SABINE
Middle Name:H
Last Name:MANOLI
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:PO BOX 808
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03061-0808
Mailing Address - Country:US
Mailing Address - Phone:603-578-5054
Mailing Address - Fax:603-595-2997
Practice Address - Street 1:168 KINSLEY ST
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060
Practice Address - Country:US
Practice Address - Phone:603-598-0770
Practice Address - Fax:603-598-0456
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH12750208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30205482Medicaid
RE8404Medicare ID - Type Unspecified
I39671Medicare UPIN