Provider Demographics
NPI:1831470236
Name:MANELA, ALON JOSEPH (PA-C)
Entity Type:Individual
Prefix:MR
First Name:ALON
Middle Name:JOSEPH
Last Name:MANELA
Suffix:
Gender:M
Credentials:PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:33 WILSON AVE
Mailing Address - Street 2:APT C
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-2233
Mailing Address - Country:US
Mailing Address - Phone:443-414-1772
Mailing Address - Fax:
Practice Address - Street 1:33 WILSON AVE
Practice Address - Street 2:APT C
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-2233
Practice Address - Country:US
Practice Address - Phone:443-414-1772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-30
Last Update Date:2013-09-13
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant