Basic Information
| Provider Information | |||||||||
| NPI: | 1821222472 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SAXENA | ||||||||
| FirstName: | MANOJ | ||||||||
| MiddleName: | K | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D., M.P.H | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10 CONNECTICUT AVE | ||||||||
| Address2: | |||||||||
| City: | NORWICH | ||||||||
| State: | CT | ||||||||
| PostalCode: | 063601502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8608595100 | ||||||||
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| Practice Location | |||||||||
| Address1: | 79 WASHINGTON AVE | ||||||||
| Address2: | |||||||||
| City: | NORTH HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 064731704 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2032392727 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/12/2009 | ||||||||
| LastUpdateDate: | 11/09/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2083P0500X | 053092 | CT | Y | Allopathic & Osteopathic Physicians | Preventive Medicine | Preventive Medicine/Occupational Environmental Medicine |
No ID Information.