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Individual

KOFI ATTA-MENSAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
675 TOWER AVE, SUITE 402, HARTFORD, CT 06112-1260
(860) 714-2992
(860) 714-8990
Mailing address
675 TOWER AVE, SUITE 402, HARTFORD, CT 06112-1260
(860) 714-2992
(860) 714-8990

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
26698
CT
207RG0100X
Gastroenterology Physician
Primary
26698
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001266980
CT
01
010026698CT04
BLUE CROSS/BLUE SHILED
CT
01
026698
CONNECTICARE
CT
01
0577990
CIGNA HEALTHCARE
CT
01
100002036
RAILROAD MEDICARE
CT
01
29-00882
EVERCARE
CT
01
298481
WELLCARE SPECIALTY
CT
01
2V9515
HEALTHNET
CT
01
311575
WELLCARE - PCP
CT
01
566029
AETNA
CT
01
HAP358
OXFORD
CT
01
P00638369
RAILROAD MEDICARE PART B
CT
Enumeration date
07/15/2006
Last updated
08/04/2014
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