Individual
DANNY JOHN MANCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 RETREAT AVE, SUITE 705, HARTFORD, CT 06106-2528
(860) 278-0070
Mailing address
100 RETREAT AVE, SUITE 705, HARTFORD, CT 06106-2528
(860) 278-0070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2395
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003023959
—
CT
Enumeration date
05/26/2010
Last updated
06/18/2015
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