Provider Demographics
NPI:1497842181
Name:MENTA, FRANCO (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANCO
Middle Name:
Last Name:MENTA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 RESEARCH DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-2863
Mailing Address - Country:US
Mailing Address - Phone:203-713-8833
Mailing Address - Fax:203-713-8844
Practice Address - Street 1:9 RESEARCH DR
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-2863
Practice Address - Country:US
Practice Address - Phone:203-713-8833
Practice Address - Fax:203-713-8844
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001281111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTD400064038OtherMEDICARE PTAN