Individual
DR. KENNETH ELI MANCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 WESTERMAN AVE, SEYMOUR, CT 06483-3320
(203) 881-0400
(203) 881-2708
Mailing address
17 WESTERMAN AVE, SEYMOUR, CT 06483-3320
(203) 881-0400
(203) 881-2708
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
025678
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001070
HEALTHNET
CT
05
—
001256783
—
CT
01
—
010025678
ANTHEM
CT
01
—
0796894
CIGNA
CT
01
—
759954
CONNECTICARE
CT
01
—
P402416
OXFORD
CT
Enumeration date
08/02/2006
Last updated
05/31/2013
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