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Ronaldo Manfre, WIG PROVIDER

NPI 1568509610ActiveIndividual· Specialist· Woburn, MA

Specialist (WIG PROVIDER) in Woburn, Massachusetts, licensed in MA, with an NPI issued in January 2007.

Overview

NPI1568509610
StatusActive
Entity typeIndividual
CredentialWIG PROVIDER
Sole proprietorYes
NPI issuedJan 30, 2007
Last updated in NPPESSep 10, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X57429 AND OR 1091276MA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Specialist providers in Woburn

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