Dr. Gerard Joseph Mannino, D.C.
Chiropractor in Woodbridge, VA. Individual provider (NPI-1).
NPI number1629125877
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1629125877
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gerard Joseph Mannino
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 3, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CHIROPRACTIC
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 0104000675 | VA | Yes |
Practice location
3302 Old Bridge RdSuite Gh
Woodbridge, VA 22192-5262
Phone 703-490-4242 · Fax 703-491-6370
Mailing address
3302 Old Bridge RdSuite Gh
Woodbridge, VA 22192-5262
Phone 703-490-4242 · Fax 703-491-6370
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