Organization
WHITNEY INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC E MANN M.D. (MANAGER)
(203) 288-9650
Entity
Organization
Contact information
Practice address
2440 WHITNEY AVE, HAMDEN, CT 06518-3222
(203) 288-9650
(203) 288-9670
Mailing address
2440 WHITNEY AVE, HAMDEN, CT 06518-3222
(203) 288-9650
(203) 288-9670
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25163
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002440
OXFORD
CT
01
—
2456810
AETNA
CT
01
—
CH8117
RAILROAD MEDICARE
—
Enumeration date
02/12/2006
Last updated
08/22/2020
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