Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 035188 | CT |
NPI | 1134124175 |
---|---|
Provider Name | Dr. Clare Elizabeth Manzi |
First Address | Middletown, CT 06457-4762 |
Second Address | Middletown, CT 06457-4762 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001351882-01 | BCBS-CT- FAMILY PLAN (01) | CT |
010035188CT04 | BLUE CROSS BLUE SHIELD (01) | CT |
1529234 | UNITED HEALTHCARE (01) | CT |
2V2440 | HEALTHNET (01) | CT |
3043764 | AETNA (01) | CT |
4822515002 | CIGNA (01) | CT |
761134 | CONNECTICARE (01) | CT |
G25891 | (02) | CT |
P3074006 | OXFORD HEALTH PLANS (01) | CT |