| Manchester Medical Associates, Pc | |
|
130 Hartford Rd Manchester CT 06040-5921 | |
| (860) 646-6210 | |
| (860) 645-3363 |
| Full Name | Manchester Medical Associates, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 130 Hartford Rd, Manchester, Connecticut |
| Authorized Official Name and Position | Theresa M Caputo (PRESIDENT) |
| Authorized Official Contact | 8606466210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manchester Medical Associates, Pc 130 Hartford Rd Manchester CT 06040-5921 Ph: (860) 646-6210 | Manchester Medical Associates, Pc 130 Hartford Rd Manchester CT 06040-5921 Ph: (860) 646-6210 |
| NPI Number | 1942278122 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 12/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942278122 | NPI | - | NPPES |
| C003687 | Other | CT | CHAMPUS |
| 4129749 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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