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MANCHESTER MEDICAL ASSOCIATES PC NPI 1942278122


NPI Information

NPI: 1942278122
Provider Name: MANCHESTER MEDICAL ASSOCIATES, PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
130 HARTFORD RD
MANCHESTER, CT
ZIP 06040
Phone: (860) 646-6210
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MANCHESTER MEDICAL ASSOCIATES, PC is an internal medicine in Manchester, CT. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MANCHESTER MEDICAL ASSOCIATES, PC NPI is 1942278122. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

130 HARTFORD RD
MANCHESTER, CT
ZIP 06040-921
Phone: (860) 646-6210
Fax: (860) 645-3363

The provider's authorized official is Theresa M Caputo .
The authorized official title is President and has the following contact phone number (860) 646-6210.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 12/26/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C01063MEDICARE PINCONNECTICUT
2C003687OTHERCONNECTICUTCHAMPUS
34129749MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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