Manton, Geoffrey L
Manton, Geoffrey L is an individual health care provider with primary practice located at 385 Main St South Union Square, Southbury CT 06488. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Manton, Geoffrey L can be contacted via phone (203) 264-7999.Contact Information
Primary practice address
385 Main St South Union Square
Southbury CT 06488
Phone: (203) 264-7999
Fax: (203) 264-7477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 043995 | Connecticut |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 043995 | Connecticut |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 043995 | Connecticut |
Profile Details
| NPI number | 1538249065 |
|---|---|
| LBN Legal business name | Manton, Geoffrey L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Jun 17th, 2021 - about 5 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 | 1538249065 | NPPES |
| Connecticut | MEDICAID | 001439951 |
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