Individual
GEORGE A MANSOOR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-3343
(860) 679-4256
Mailing address
65 KANE ST, WEST HARTFORD, CT 06119-2110
(860) 523-6421
(860) 523-3201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
033504
CT
Other
Enumeration date
06/23/2005
Last updated
07/08/2007
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