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Individual

DR. KENNETH ELI MANCHER

Active
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Individual

DR. KENNETH ELI MANCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
025678
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001070
HEALTHNET
CT
05
—
001256783
—
CT
01
—
010025678
ANTHEM
CT
01
—
0796894
CIGNA
CT
01
—
759954
CONNECTICARE
CT
01
—
P402416
OXFORD
CT
Enumeration date
08/02/2006
Last updated
05/31/2013
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