Individual
DR. JOSE P. NIELL-MANENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 RIDGE BROOK DR, STAMFORD, CT 06903-1235
(203) 322-9278
Mailing address
12 RIDGE BROOK DR, STAMFORD, CT 06903-1235
(203) 322-9278
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
15422
CT
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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