Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 000882 | CT |
N | 222Z00000X | Podiatrist | 000882 | CT |
N | 213EP1101X | Primary Podiatric Medicine | 000882 | CT |
Y | 213ES0131X | Foot Surgery | 000882 | CT |
NPI | 1285946426 |
---|---|
Provider Name | Dr. Manal Anz |
First Address | Shelton, CT 06484-4422 |
Second Address | Shelton, CT 06484-4422 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2010 |
Last Update Date | 30/04/2015 |