Provider Demographics
NPI:1053650606
Name:VINCENT A MANJONEY JR MD
Entity Type:Organization
Organization Name:VINCENT A MANJONEY JR MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:A
Authorized Official - Last Name:MANJONEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:203-579-7500
Mailing Address - Street 1:2720 MAIN ST
Mailing Address - Street 2:3RD FLOOR SOUTH
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06606-5363
Mailing Address - Country:US
Mailing Address - Phone:203-579-7500
Mailing Address - Fax:203-576-0035
Practice Address - Street 1:2720 MAIN ST
Practice Address - Street 2:3RD FLOOR SOUTH
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06606-5363
Practice Address - Country:US
Practice Address - Phone:203-579-7500
Practice Address - Fax:203-576-0035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-01
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric MedicineGroup - Multi-Specialty
No2086H0002XAllopathic & Osteopathic PhysiciansSurgeryHospice and Palliative MedicineGroup - Multi-Specialty
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical CareGroup - Multi-Specialty
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma SurgeryGroup - Multi-Specialty
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical OncologyGroup - Multi-Specialty
No208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal SurgeryGroup - Multi-Specialty