# DR. RICHARD JOHN MANGANIELLO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1003881764
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 035387 | CT | Yes |

## Other

- **Enumeration date:** 02/17/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0005955242 | AETNA | CT |
| 01 | — | 010035387CT01 | BLUE CROSS | CT |
| 01 | — | 035387 | CONNECTICARE | CT |
| 05 | — | 4216629 | — | CT |
| 01 | — | OV8008 | HEALTHNET | CT |
| 01 | — | P405022 | OXFORD | CT |