Mamuya, Komsu F
Mamuya, Komsu F is an individual health care provider with primary practice located at 1260 Silas Deane Hwy , Wethersfield CT 06109-4362. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Mamuya, Komsu F can be contacted via phone (860) 258-3477.Contact Information
Primary practice address
1260 Silas Deane Hwy
Wethersfield CT 06109-4362
Phone: (860) 258-3477
Fax: (860) 571-6802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 047922 | Connecticut |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 047922 | Connecticut |
Profile Details
| NPI number | 1073588695 |
|---|---|
| LBN Legal business name | Mamuya, Komsu F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Mar 8th, 2012 - about 14 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 | 1073588695 | NPPES |
| Connecticut | Other | 047922 | LICENSE |
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