Individual
PUSHPA MANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16 HOSPITAL AVE, SUITE 203, DANBURY, CT 06810-5927
(203) 791-9599
Mailing address
83 SAND PIT RD, DANBURY, CT 06810-5927
(203) 791-9599
(203) 791-8100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
032144
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001321447
—
CT
Enumeration date
07/06/2006
Last updated
11/22/2011
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