Marisa M. Mancuso, DO

Pediatrics Physician · Boardman, OH

Individual Active NPI

NPI number 1124647516

Practice location

6505 Market St
Boardman, OH 44512-1063
Phone
(330) 543-8178

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NPI record

NPI
1124647516
Entity type
Individual (Type 1)
Enumeration date
April 15, 2020
Last updated
June 24, 2023
Certified
June 24, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 34.016662 OH
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

1 Perkins Sq
Akron, OH 44308-1063
Phone
(440) 476-5722

About Dr. Mancuso

Marisa M. Mancuso, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 6505 Market St, Boardman, OH 44512-1063. The NPI number 1124647516 was assigned on April 15, 2020 and the record was last updated on June 24, 2023.

Dr. Mancuso lists a license in the registry: #34.016662 (OH) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Marisa M. Mancuso, DO?

The NPI number is 1124647516.

What is the phone number of Dr. Mancuso?

The phone number listed for the practice location is (330) 543-8178.

Where is Dr. Mancuso located?

6505 Market St, Boardman, OH 44512-1063.

What is the taxonomy code for Dr. Mancuso?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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