Mamuya, Komsu F

Mamuya, Komsu F is an individual health care provider with primary practice located at 1260 Silas Deane Hwy , Wethersfield CT 06109-4362. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Mamuya, Komsu F can be contacted via phone (860) 258-3477.

Contact Information

Primary practice address
1260 Silas Deane Hwy Wethersfield CT 06109-4362
Phone: (860) 258-3477
Fax: (860) 571-6802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 047922 Connecticut
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 047922 Connecticut

Profile Details

NPI number 1073588695
LBN Legal business name Mamuya, Komsu F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Mar 8th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073588695 NPPES
Connecticut Other 047922 LICENSE

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