IndividualActive
Justin Manganaro, PNP
NPI 1568765485 · Pediatric Nurse Practitioner · Dover, NH
Provider details
- NPI number
- 1568765485
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PNP
- Sex
- Male
- Sole proprietor
- No
- License
- RN266873 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
789 Central Ave
Dover, NH 03820-2526
Phone: (603) 740-2263
Fax: (603) 740-2402
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 412503
Boston, MA 02241-2503
Additional practice locations (1)
- 88 Washington StTaunton, MA 02780-2465Phone: (508) 828-5000
Registry dates
- Enumerated
- 2010-12-15
- Last updated
- 2021-02-03
- Certified
- 2021-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.