Organization
FAMILY PRACTICE AND INTERNAL MEDICINE OF HAMDEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MANKUS M.D. (PHYSICIAN/OWNER)
(203) 288-6197
Entity
Organization
Contact information
Practice address
35 SCOTT ST, HAMDEN, CT 06514-4028
(203) 288-6197
(203) 287-2842
Mailing address
35 SCOTT ST, HAMDEN, CT 06514-4028
(203) 288-6197
(203) 287-2842
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001304493
—
CT
Enumeration date
02/20/2008
Last updated
06/27/2008
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