Individual
MOHAMED R MANSOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
85 SEYMOUR ST, SUITE 805, HARTFORD, CT 06106-5501
(860) 249-9175
(860) 249-7866
Mailing address
2110 SILAS DEANE HWY, ROCKY HILL, CT 06067-2313
(860) 258-3470
(860) 571-6800
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
034571
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001345710
—
CT
Enumeration date
10/10/2005
Last updated
09/30/2013
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