Unknown Individual – Anesthesiology Physician, NPI 1124093505
Anesthesiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
953, Main Street, Main Street Historic District, Manchester, Capitol Planning Region, Connecticut, 06040, United States
SUITE 212
MANCHESTER, CT 060406014
Phone: (860) 649-1550
Fax: (860) 649-1091
Type: Mailing
Manchester Memorial Hospital, 71, Haynes Street, Manchester, Hartford County, Connecticut, 06040, United States
MANCHESTER, CT 060404131
Phone: (860) 649-1550
Fax: (860) 649-1091
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06040)
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