Individual
MANJU MARY JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 SAYBROOK RD, SUITE A, MIDDLETOWN, CT 06457-4747
(860) 347-4258
(860) 704-5924
Mailing address
420 SAYBROOK RD, STE A, MIDDLETOWN, CT 06457-4747
(860) 636-2010
(860) 636-2045
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
052856
CT
Other
Enumeration date
06/29/2008
Last updated
11/22/2019
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