Individual
DONNA-MARIE MANASSEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
32 STRAWBERRY HILL CT, SUITE #8, STAMFORD, CT 06902-2594
(203) 276-4255
Mailing address
32 STRAWBERRY HILL CT, SUITE #8, STAMFORD, CT 06902-2594
(203) 276-4255
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
043744
CT
208600000X
Surgery Physician
Primary
218912
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010043744CT01
ANTHEM BCBS
CT
01
—
1182485
AETNA
CT
01
—
2V7635
HEALTH NET
CT
01
—
2V9215
HEALTH NET
CT
01
—
4197554
CIGNA
CT
01
—
7961507
AETNA
CT
01
—
P3668000
OXFORD
CT
01
—
P3782239
OXFORD
CT
01
—
TIN
UHC
CT
Enumeration date
07/15/2005
Last updated
10/09/2024
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