Organization
MANCHESTER MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE ANN GIRARD (OFFICE MANAGER)
(860) 645-4150
Entity
Organization
Contact information
Practice address
130 HARTFORD RD, MANCHESTER, CT 06040-5921
(860) 645-4150
Mailing address
130 HARTFORD RD, MANCHESTER, CT 06040-5921
(860) 645-4150
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
002925
CT
Other
Enumeration date
06/25/2007
Last updated
02/28/2008
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