Manthous, Constantine A
Manthous, Constantine A is an individual health care provider with primary practice located at 100 Grand St 100 Grand Street, New Britain CT 06052-2016. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Manthous, Constantine A can be contacted via phone (860) 224-5011.Contact Information
Primary practice address
100 Grand St 100 Grand Street
New Britain CT 06052-2016
Phone: (860) 224-5011
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 031195 | Connecticut |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 031195 | Connecticut |
Profile Details
| NPI number | 1780643759 |
|---|---|
| LBN Legal business name | Manthous, Constantine A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2006 |
| Last updated | Jul 30th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780643759 | NPPES |
| Connecticut | MEDICAID | 001311951 |
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