Manchester Medical Associates, Pc

LBN: Manchester Medical Associates, Pc
Manchester Medical Associates, Pc is an health care organization with primary practice located at 130 Hartford Rd , Manchester CT 06040-5921. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Manchester Medical Associates, Pc can be contacted via phone (860) 646-6210, or through Caputo, Theresa M via phone (860) 646-6210.

Contact Information

Primary practice address
130 Hartford Rd Manchester CT 06040-5921
Phone: (860) 646-6210
Fax: (860) 645-3363
Website:
Map and Directions
Authorized official contact:
Name: Caputo, Theresa M Doctor of Medicine (MD)
Phone: (860) 646-6210

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1942278122
LBN Legal business name Manchester Medical Associates, Pc
DBA Doing business as
Authorized official Caputo, Theresa M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2006
Last updated Dec 26th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942278122 NPPES
Connecticut Other C003687 CHAMPUS
Connecticut MEDICAID 4129749 CHAMPUS

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