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MANUEL PORTALATIN, D.O.

D.O.

Surgery Physician

NPI: 1710392246IndividualAccepts Medicare

Specialties, Licenses & Credentials

Surgery PhysicianPrimary

Surgery

Code: 208600000X

DO01505(RI)282996(MA)036156256(IL)
Surgical Critical Care Physician

Surgery — Surgical Critical Care

Code: 2086S0102X

282996(MA)DO01505(RI)

CMS Specialties

PrimaryGENERAL SURGERY

Additional

CRITICAL CARE (INTENSIVISTS)

Education

OTHER

Class of 2014

Contact & Hours

Via practice · 5 locations total

Address
55 FRUIT ST, YAW 6 RADIOLOGICAL ASSOCIATES
BOSTON, MA 02114

Locations (5)

Practice Location

55 FRUIT ST, BOSTON, MA
(617) 726-7712

Practice Location

2160 S 1ST AVE, MAYWOOD, IL
(708) 216-9000

Practice Location

703 MAIN ST, PATERSON, NJ
(973) 754-2000

Practice Location

593 Eddy St, Providence, RI
(401) 444-0326

Practice Location

2 DUDLEY ST STE 470, PROVIDENCE, RI
(401) 553-8355

Quick Facts

NPI
1710392246
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
5
Locations
5
Years in Practice
12

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