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Provider Information for 1316324437

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MANJOT REEN MD

Gender: FEMALE

Individual NPI: 1316324437

Calendar   Last Updated:  2019-12-04
  Certification Date: 

Details

Name Value
NPI 1316324437
Enumeration Date 2015-04-27
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 114 WOODLAND ST
HARTFORD, CT 06105-1208
United States

Phone: 860-714-4088 | Fax:
View Map External Link
Primary Practice Address 117 ALBANY TPKE
CANTON, CT 06019-2507
United States

Phone: 860-658-3444 | Fax: 860-658-3458
View Map External Link
Secondary Practice Address 114 WOODLAND ST
HARTFORD, CT 06105
United States

Phone: 860-714-4212 | Fax:
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207Q00000X - Family Medicine CT 61350