| Rosenlicht & Ansari Pc | |
|
483 Middle Tpke W Suite 102 Manchester CT 06040-3863 | |
| (860) 649-2272 | |
| (860) 649-4538 |
| Full Name | Rosenlicht & Ansari Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 483 Middle Tpke W, Manchester, Connecticut |
| Authorized Official Name and Position | Ryaz Ansari (PRESIDENT) |
| Authorized Official Contact | 8606492272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosenlicht & Ansari Pc 483 Middle Tpke W Suite 102 Manchester CT 06040-3863 Ph: (860) 649-2272 | Rosenlicht & Ansari Pc 483 Middle Tpke W Suite 102 Manchester CT 06040-3863 Ph: (860) 649-2272 |
| NPI Number | 1477707081 |
|---|---|
| Provider Enumeration Date | 11/10/2008 |
| Last Update Date | 06/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477707081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | TCONTROLL2454 (Connecticut) | Primary |
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