MARK MANZO

WORCESTER, MA
NPI1003042441
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MA  PA3715)
Enumeration Date2009-05-29
Last Update Date2015-11-20
Business Address
MARK MANZO
210 PARK AVE STE 163
WORCESTER, MA 01609-2246
Phone number: 508-752-0843
Mailing Address
MARK MANZO
210 PARK AVE STE 163
WORCESTER, MA 01609-2246
Phone number: 508-752-0843