Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marisa M Mancuso, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124647516

Marisa M Mancuso, DO is a Student in an Organized Health Care Education/Training Program in Boardman, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

6505 Market St
Boardman, OH 44512-1063
Phone: (330) 543-8178
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 34.016662 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124647516
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 15, 2020
Last updated in NPPESJune 24, 2023
Certification dateJune 24, 2023
Mailing address1 Perkins Sq, Akron, OH 44308-1063

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