Individual
MANNY C KATSETOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 LIBERTY SQ, NEW BRITAIN, CT 06051-2662
(860) 229-6811
Mailing address
1 LIBERTY SQ, NEW BRITAIN, CT 06051-2662
(860) 229-6811
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
040147
CT
207RI0011X
Interventional Cardiology Physician
Primary
040147
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001401471
—
CT
01
—
50LEXINGTCT01
ANTHEM
CT
Enumeration date
05/28/2006
Last updated
09/30/2015
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