Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY MOON MANZO, PA-C
Active Sole ProprietorMARY MOON MANZO, PA-C is a Surgical Physician Assistant healthcare provider located in NEWPORT, Rhode Island. NPI 1730292244 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · NEWPORT, RI
Registration Details
- NPI Number
- 1730292244
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 17, 2006 (20.012144976162 yrs)
- Last Updated
- Feb 16, 2012
- License
-
PA 449 (RI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19 FRIENDSHIP STNEWPORT, RI, 028402272Browse RI providers · Browse ZIP 02840
- Phone
- 4018496868
- Fax
- 4018473840
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in NEWPORT, RI
| Name | Credential | NPI |
|---|---|---|
| STEPHANIE SLONE | PA-C | 1174896211 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.