Individual
DR. EDWARD P MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD-PHD
Contact information
Practice address
300 CEDAR ST, NEW HAVEN, CT 06519-1612
(203) 803-0359
Mailing address
PO BOX 208057, 300 CEDAR STREET TAC - 441 SOUTH, NEW HAVEN, CT 06520-8057
(203) 785-4198
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55780
CT
207RP1001X
Pulmonary Disease Physician
55780
CT
208M00000X
Hospitalist Physician
55780
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
STUDENT IN AN ORGANIZED HEALTH CARE EDUCATION/TRAINING PROGRAM EDUCATION/TRAININ
CT
Enumeration date
04/24/2014
Last updated
04/06/2020
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