Individual provider · Type 1 NPI
Dimitra A. Manesis, MD
Adult Medicine Physician · Peabody, MA
NPI number
1023074952
Active
Practice location
2 Essex Center Dr, Internal Medicine
Peabody, MA 01960-2902
Mailing address
147 Milk St, Provider Enrollment - 9th Floor
Boston, MA 02109-4806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 52313 (MA) |
| Adult Medicine Physician Primary | 207QA0505X | 52313 (MA) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
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About NPI 1023074952
Dimitra A. Manesis, MD's National Provider Identifier is 1023074952, issued on Apr 20, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Peabody, MA. The record was last updated on Jul 13, 2026.