Provider Demographics
NPI:1548263486
Name:MCMANUS, DEVIN A (MD)
Entity type:Individual
Prefix:
First Name:DEVIN
Middle Name:A
Last Name:MCMANUS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10 BRAMBLEBUSH PARK
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-2325
Mailing Address - Country:US
Mailing Address - Phone:508-548-1446
Mailing Address - Fax:508-548-1274
Practice Address - Street 1:10 BRAMBLEBUSH PARK
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-2325
Practice Address - Country:US
Practice Address - Phone:508-548-1446
Practice Address - Fax:508-548-1274
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-24
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA78171207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3052176Medicaid
MA0416523533OtherSTANDARD TAX ID NUMBER
MA060222OtherTUFTS HEALTH PLAN
MA0401215OtherUNITED HEALTHCARE
MA6745OtherHARVARD PILGRIM
MAM18252OtherBLUE CROSS/BLUE SHIELD
MA3290902OtherAETNA
MAP00057923OtherRAIL ROAD MEDICARE
MAM18252OtherBLUE CROSS/BLUE SHIELD
MA6745OtherHARVARD PILGRIM