Individual
DR. PAMELA L MANTHOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18 CEDAR ST, GROVE HILL MEDICAL CENTER, NEWINGTON, CT 06111-2647
(860) 666-5111
(860) 666-5153
Mailing address
300 KENSINGTON AVE, GROVE HILL MEDICAL CENTER, NEW BRITAIN, CT 06051-3916
(860) 666-5111
(860) 666-5153
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
032643
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001326439
—
CT
05
—
004196095
—
CT
01
—
010032643CT
BCBS N BCFP PROV ID
CT
01
—
01032643
CIGNA PROV ID
CT
01
—
060074
HEALTH NET PROV ID
CT
01
—
1255448155
GHMC GRP NPI PROV ID
CT
01
—
3264301
CONNECTICARE PROV ID
CT
01
—
368783
WELLCARE MEDICARE
CT
01
—
500222
AETNA PROV ID
CT
01
—
912607
HEALTH NET REF ID
CT
01
—
P369849
OXFORD PROV ID
CT
Enumeration date
07/14/2005
Last updated
07/09/2007
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