Healthcare Provider Details

I. General information

NPI: 1518093301
Provider Name (Legal Business Name): PHILIP ARNOLD MANAKER M.D., M.P.H
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1013 MOTT HILL RD
SOUTH GLASTONBURY CT
06073-3705
US

IV. Provider business mailing address

1013 MOTT HILL RD
SOUTH GLASTONBURY CT
06073-3705
US

V. Phone/Fax

Practice location:
  • Phone: 860-659-4584
  • Fax:
Mailing address:
  • Phone: 860-659-4584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License Number027830
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number027830
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: