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Jake Mansfield
NPI 1740919141 · on the registry since 2022
Practice
- Address
- 41 Timber Ln
Bethany, CT 06524 - Phone
- (203) 494-8084
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut