Individual
MR. BRIAN J MAGNANO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
641 CLARK AVE, BRISTOL, CT 06010-4068
(866) 582-0389
(860) 582-3607
Mailing address
641 CLARK AVE, BRISTOL, CT 06010-4068
(866) 582-0389
(860) 582-3607
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007294
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08007294CT16
BLUE CROSS
CT
01
—
111199
HEALTHPARTNERS
—
01
—
2V5785
HEALTHNET
—
01
—
3697028
AETNA
CT
01
—
P354241
OXFORD
—
Enumeration date
12/27/2005
Last updated
07/08/2007
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