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Contact Information

JEFFREY M MANZANO AQUINO, MD
2500 N STATE ST
JACKSON, MS39216-4500
 Phone: 732-439-8519
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JEFFREY M MANZANO AQUINO · (Male)

NPI # 1245681683
Status Active
Credentials MD
Entity Individual
Enumeration date 06/27/2016
Last updated 07/14/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 30124
  • NJ License # 25MA10601300
  • NY Medicaid 1245681683
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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