ETHAN RICHARD MANOS

WOONSOCKET, RI
NPI1366078206
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2020-03-22
Last Update Date2020-03-22
Business Address
ETHAN RICHARD MANOS PA-C
115 CASS AVE
WOONSOCKET, RI 02895-4705
Phone number: 401-769-4100
Mailing Address
ETHAN RICHARD MANOS PA-C
4 WOODVIEW WAY UNIT A23
HOPKINTON, MA 01748-2860
Phone number: 857-772-9380