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1134105521
ALEXA PHOTENE MANICKAS
BOSTON, MA
NPI
1134105521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: MA 79111)
Enumeration Date
2005-12-19
Last Update Date
2012-10-02
Business Address
ALEXA PHOTENE MANICKAS MD
75 FRANCIS ST RADIOLOGY BRIGHAM & WOMANS HOSPITAL
BOSTON, MA 02115-6110
Phone number: 617-732-9801
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Mailing Address
ALEXA PHOTENE MANICKAS MD
75 FRANCIS ST RADIOLOGY BRIGHAM & WOMANS HOSPITAL
BOSTON, MA 02115-6110
Phone number: 617-732-9801
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