Individual
LAURA A. MANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 739-6959
(203) 739-6495
Mailing address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 739-6959
(203) 739-6495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007008-1
NY
363AM0700X
Medical Physician Assistant
002922
CT
Other
Enumeration date
03/02/2007
Last updated
02/11/2014
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