Individual
MANISH TANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT, HARTFORD, CT 06102
(860) 545-5152
Mailing address
PO BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
038032
CT
2086S0102X
Surgical Critical Care Physician
Primary
038032
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001380328
—
CT
Enumeration date
11/09/2005
Last updated
02/06/2013
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