Active NPIIndividual providerSole proprietor

Elizabeth Mann, PA-C

Physician Assistant, Surgical in New London, Connecticut

NPI Number1679712053
Practice location
365 Montauk Ave Ste 2.013, Lmh Urology, New London, CT 06320-4700
Fax
860-271-4278
Last updated
April 30, 2024

Elizabeth Mann is a Physician Assistant, Surgical based in New London, CT. Elizabeth Mann practices in New London, CT and has the professional credentials of PA-C. The NPI Number for Elizabeth Mann is 1679712053 and holds a License No. PA2591 (MA). The current practice location address for Elizabeth Mann is 365 Montauk Ave Ste 2.013, Lmh Urology, New London, CT 06320-4700 and can be reached out via phone at 860-271-4275 and via fax at 860-271-4278.

Provider Profile Details

NPI Number
1679712053
Provider Name
Elizabeth Mann
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
365 Montauk Ave Ste 2.013, Lmh Urology, New London, CT 06320-4700
Phone Number
860-271-4275
Fax Number
860-271-4278
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
Yes
Provider Enumeration Date
February 9, 2009
Last Update Date
April 30, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
365 Montauk Ave Ste 2.013
Lmh Urology
New London, CT 06320-4700
Zip
06320-4700
Phone Number
860-271-4275
Fax Number
860-271-4278
New London, CT 06320Get directions →

Provider Business Mailing Address Details

Address
365 Montauk Ave Ste 2.013
New London, CT 06320-4700
City
New London
State
CT
Zip
06320-4700
Phone Number
860-271-4275
Fax Number
860-271-4278

License Information

License Number (1)
PA2591
License State (1)
MA
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA00482
License State (2)
RI
Taxonomy (2)
Physician Assistant, Surgical · 363AS0400X
License Number (3)
4369
License State (3)
CT
Taxonomy (3)
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elizabeth Mann, PA-C?

The NPI number of Elizabeth Mann, PA-C is 1679712053. It was assigned on February 9, 2009 and is currently active in the NPPES registry.

What is the specialty of Elizabeth Mann, PA-C?

Elizabeth Mann, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in MA under license number PA2591.

Where does Elizabeth Mann, PA-C practice?

The practice location is 365 Montauk Ave Ste 2.013, Lmh Urology, New London, CT 06320-4700. The office can be reached at 860-271-4275 (phone) or 860-271-4278 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679712053 directly on the NPPES registry website.

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