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:
Health care specialties
| Specialty | Code | License # | 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 3 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 | 1346504941 | NPPES |
| Florida | MEDICAID | 010977100 |
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