Dr Joseph Anthony Manzella Jr, DDS | |
337 Notch Hill Rd, North Branford, CT 06471-1826 | |
(203) 488-6343 | |
Not Available |
Full Name | Dr Joseph Anthony Manzella Jr |
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Gender | Male |
Speciality | Dentist |
Location | 337 Notch Hill Rd, North Branford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336718428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DEN03642 (Rhode Island) | Secondary |
122300000X | Dentist | 13495 (Connecticut) | Primary |
Entity Name | Rhode Island Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770601668 PECOS PAC ID: 8921900044 Enrollment ID: O20120705000002 |
Mailing Address | Practice Location Address |
---|---|
Dr Joseph Anthony Manzella Jr, DDS 56 W Hills Rd, Ivoryton, CT 06442-1023 Ph: (631) 972-7808 | Dr Joseph Anthony Manzella Jr, DDS 337 Notch Hill Rd, North Branford, CT 06471-1826 Ph: (203) 488-6343 |
Dr. Jodi L Cohen, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 337 Notch Hill Rd, North Branford, CT 06471 Phone: 203-488-6343 Fax: 203-488-6185 | |
Dr. Barry I Stark, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 337 Notch Hill Rd, North Branford, CT 06471 Phone: 203-488-6343 Fax: 203-488-6185 | |
Dr. Gary Alan Lachance, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 337 Notch Hill Rd, North Branford, CT 06471 Phone: 203-488-6343 Fax: 203-488-6185 |