Orta Cobo, Manuel A.

Orta Cobo, Manuel A. is an sole proprietor health care provider with primary practice located at 55 Nye Rd Ste 105 , Glastonbury CT 06033-1281. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Orta Cobo, Manuel A. can be contacted via phone (860) 375-5088.

Contact Information

Primary practice address
55 Nye Rd Ste 105 Glastonbury CT 06033-1281
Phone: (860) 375-5088
Fax: (860) 590-2030
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101253331 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME119697 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 14868 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 56881 Connecticut

Profile Details

NPI number 1346504941
LBN Legal business name Orta Cobo, Manuel A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2012
Last updated Sep 19th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346504941 NPPES
Florida MEDICAID 010977100

Popular Providers