Provider Demographics
NPI:1295735678
Name:MANJONEY, DELIA M (MD)
Entity type:Individual
Prefix:DR
First Name:DELIA
Middle Name:M
Last Name:MANJONEY
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 1:2720 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06606-5308
Mailing Address - Country:US
Mailing Address - Phone:203-576-6500
Mailing Address - Fax:203-576-0035
Practice Address - Street 1:2720 MAIN ST
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06606-5308
Practice Address - Country:US
Practice Address - Phone:203-576-6500
Practice Address - Fax:203-576-0035
Is Sole Proprietor?:No
Enumeration Date:2005-07-27
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT02230207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B84229Medicare UPIN
CT180000366Medicare ID - Type Unspecified