Organization
MANUAL MEDICINE OF NEW ENGLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN SOUSA D.O. (OWNER)
(860) 228-1119
Entity
Organization
Contact information
Practice address
105 MAIN ST, HEBRON, CT 06248-1519
(860) 228-1119
(860) 228-4314
Mailing address
105 MAIN ST, PO BOX 636, HEBRON, CT 06248-1519
(860) 228-1119
(860) 228-4314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
041639
CT
Other
Enumeration date
12/18/2006
Last updated
07/13/2007
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