Provider Demographics
NPI:1134124175
Name:MANZI, CLARE ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:CLARE
Middle Name:ELIZABETH
Last Name:MANZI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 SAYBROOK RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-4762
Mailing Address - Country:US
Mailing Address - Phone:860-347-6523
Mailing Address - Fax:860-347-7024
Practice Address - Street 1:760 SAYBROOK RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-4762
Practice Address - Country:US
Practice Address - Phone:860-347-6523
Practice Address - Fax:860-347-7024
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT035188207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT010035188CT04OtherBLUE CROSS BLUE SHIELD
CT001351882-01OtherBCBS-CT- FAMILY PLAN
CT761134OtherCONNECTICARE
CT1529234OtherUNITED HEALTHCARE
CT2V2440OtherHEALTHNET
CT4822515002OtherCIGNA
CTP3074006OtherOXFORD HEALTH PLANS
CT3043764OtherAETNA
CT1529234OtherUNITED HEALTHCARE